I understand that this consultation does not constitute a doctor/patient relationship. I understand I will not be provided a "treatment plan" to treat my migraines during this call. I also understand that there will be no follow up or ongoing communication with Dr. Paynter after this consultation and my request for a consultation is based on this understanding.
I understand that this is a one time consultation and that there will be no follow up consultations scheduled. I acknowledge that Dr. Paynter does not have the ability to accommodate many of these 1:1 consultations and agree that I will not schedule additional consultations within 6 months.
I understand that there will be no treatment or recommendations provided to me and that all information exchanged during this call is to be taken to my doctor for discussion and follow up.
I release Dr. Tanya Paynter and Psalm Medical from all responsibility pertaining to information disclosed during this call, including but not limited to follow up, referrals, or treatments.
I will accept the times available for scheduling, even if they fall during the weekday, that alternative scheduling options may not be available, and that I will make the available times work within my schedule.
I acknowledge that payment holds my spot for consultation and that I am required to provide at least 24 hours notice to reschedule. If I do not show for my appointed time or do not provide the required 24 hour notice, I understand there is a $79 charge to me that I must pay before I may reschedule.
I understand that refunds are not provided after the consultation has taken place. I further acknowledge that any cancelations and request for refund made after I submit payment will result in a $15 processing charge. This will be in addition to any additional fees that may have accrued (such as a $79 fee for failure to show for my scheduled time). I understand that this means the maximum refund I am eligible for after submitting payment is $284 and may be as little as $205.
I have read and agree to the above conditions.