PLEASE NOTE:

We provide incentive by offering savings over our hourly rates for your commitment to a pre-paid Neurofeedback Package of 20 Sessions with a Comprehensive Evaluation and Testing. Several payment options are available and we accept all major credit cards.

Comprehensive Package

The following prepaid package is available and offers a savings of more than $1400.00. All packages must be paid in full in advance of treatment and must be completed within 4 months. We offer additional savings once you have completed the Comprehensive Package by way of add-on packages. We also offer Special Family Packages with even greater savings.

Other Service Items

Miscellaneous Administrative Tasks as Requested

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Neurofeedback Center of Virginia LLC Payment Policies:

The following services are billed separately unless specified as included in a package:

• Re-evaluations
• Optional Testing – Tova, Brain Map, other Tests/Indexes
• Written Reports to agencies, professionals and insurance companies
• Document reviews such as test reports and/or hospital records
• Letters
• Billing tasks such as preparing a Super Bill
• Additional Consultations beyond those included in a package or re-assessments
• Additional Services: Counseling, Hypnotherapy, Coaching, peripheral Biofeedback, etc.

Payment

Neurofeedback Center of Virginia LLC is a fee-for-service practice. Payment in full is expected at each visit and clients are responsible for paying all arranged fees in full on a pay per visit basis, prior to receiving training or other services, or paid in full in advance of all treatments in a package.

Outstanding Balances
It is the policy of Neurofeedback Center of Virginia LLC to require credit card with signature on file in order to ensure payment for all outstanding balances. Please take notice that if any balance remains unpaid 10 days past the due date we will mail one Warning Notice stating you have 5 days to pay your account in full. Partial payments will not be accepted unless otherwise negotiated. If we still do not receive payment we may refer your account to a collection agency, with subsequent discharge of the client and/or immediate family members from the Neurofeedback Center of Virginia LLC practice. In the event we do notify clients by regular and/or certified mail that you have 30 days to find alternative care.

Book/CD Loan and Equipment Lease/Lease to Buy Terms
It is the policy of this office to require credit card with signature on file for all book, CD loans and equipment leasing. Library Loans are limited to one item checked out at a time with return by one week of check-out. Equipment Leasing is by individual contract with damage/no return deposit required.

Package Terms
All packages must be paid in full in advance of treatment and must be completed within 4 months (special or mitigating circumstances will be considered). If the 4 month time line is not adhered to the account will be rendered inactive and a re-activation fee of $100.00 will be assessed. Any changes of the terms must be made in the form of a written and informed consensual agreement.

Refunds
Package deposits are non-refundable, in the event of discontinuation or any breach of terms.

Insurance
Neurofeedback Center of Virginia LLC does not handle insurance benefits directly, and we do not participate in any insurance plans. We will provide receipts and/or other relevant documentation upon request that you may submit to your insurance company for reimbursement. Please contact your insurance company with any questions you may have regarding your coverage for Neurofeedback and other services we offer.

Medicare
Medicare does not cover any of the services that we provide.

Responsibility for Understanding Policies, Terms and Agreements
During the Intake Interview all clients are expected and required to take the opportunity to read and understand all office policies, procedures and terms before training, including the Notice of Privacy Practices and the clause where you may request a copy of such at any time. Clients are also required to sign a binding agreement that all patient and responsible party information on your account is accurate and complete to the best of your knowledge, and that you have read and understood all of the office and payment policies, terms and agreements of Neurofeedback Center of Virginia LLC.