Myndset Therapeutics Practice Documents & Policies
In this section, you'll find essential paperwork for current Myndset Therapeutics patients. This includes our Informed Consent, Attendance Policy, and other key documents that provide important information to support a successful therapeutic experience.
Practice
Documents
Privacy Policy
At Myndset Therapeutics, your privacy, safety, and trust are essential. Our Privacy Policy outlines how we collect and protect personal and health-related information, including data shared through our online tools like the Nervous System Tracker. Our Terms of Use explain how you may interact with the content, tools, and resources available on our site. These documents are here to support transparency and ethical practice, whether you're engaging in therapy, coaching, or personal growth. Click below to view or download our policies.
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Therapeutic Contract
The Therapeutic Contract outlines the foundational expectations for a safe, respectful, and effective therapy experience at Myndset Therapeutics. It includes guidelines around confidentiality, crisis resources, communication boundaries, respectful conduct, and payment policies. This document helps clarify the therapeutic relationship and supports a shared understanding of what clients can expect and what is expected of them. You can view or download the full Therapeutic Contract below.
Safety Plan
The Suicide and Self-Harm Safety Plan is a collaborative document designed to support clients during mental health crises. It outlines emergency resources, trusted contacts, and clear steps for managing moments of acute distress. While safety planning can be done during a scheduled session, this form ensures clients have immediate access to crisis support and that therapists can respond appropriately in high-risk situations. To view or complete the full Safety Plan, use the link below.
Informed Consent for Life Coaching
Life coaching at Myndset Therapeutics is designed to support personal growth, clarity, and intentional action outside of a clinical or diagnostic framework. Our Informed Consent for Life Coaching outlines the scope and limitations of coaching services, your rights as a participant, and the nature of the coaching relationship. This document helps ensure mutual understanding, ethical boundaries, and clear expectations. You can view or download the full consent form below before beginning your coaching journey.
Terms of Use
By using the Myndset Therapeutics website, including any self-guided tools or members-only areas, you agree to our Terms of Use. These terms outline how our resources can be used, clarify that online tools do not establish a therapeutic relationship, and define user responsibilities around privacy, intellectual property, and ethical engagement. Whether you're accessing the STOP Method, Nervous System Tracker, or educational content, these guidelines help maintain a safe, respectful, and professional space for everyone. View or download the full Terms of Use below.
Attendance & Cancellation Policy
To ensure consistent, quality care, Myndset Therapeutics maintains a clear attendance and cancellation policy. Clients are asked to provide at least 24 hours’ notice for cancellations to avoid a fee. Late cancellations may incur a $50 charge, and no-shows are subject to a $75 fee. Repeated missed appointments may result in higher charges and the suspension of future sessions until outstanding balances are resolved. Our goal is to protect both your time and your therapist’s. Please review the full policy below for details.
Forensic Fees & Court Appearance Policy
While therapeutic services at Myndset Therapeutics are not intended for legal proceedings, there may be cases in which a therapist is subpoenaed or asked to participate in court-related matters. Our Forensic Fees Policy outlines rates for court preparation, testimony, depositions, document filing, and related legal involvement. These services carry additional costs and require advance notice, including a minimum $1,000 retainer. For details on all fees and conditions, please review the full policy below.
Informed Consent for Services
At Myndset Therapeutics, we believe that clarity and collaboration are the foundation of effective care. Our Informed Consent outlines your rights as a client, the structure and boundaries of the therapeutic relationship, and the ethical responsibilities we uphold as licensed professionals. By reviewing and signing this document, you are acknowledging a shared understanding of confidentiality, session expectations, risks and benefits of therapy, and your autonomy throughout the treatment process. You can view or download the full Informed Consent form below.
Records Request & Retrieval Policy
In accordance with Michigan law (MCL 333.26269), Myndset Therapeutics may charge a fee for medical record retrieval and duplication. Requests are typically fulfilled within 7 business days. Fees include a $20 retrieval charge plus per-page copy rates, with additional charges for non-paper formats, shipping, and records older than 7 years. Completion of documentation such as disability forms or ESA letters is billed at $50/hour. For detailed information, please view the full Records Request and Retrieval Policy below.
Patient Account Balance Policy
The Patient Account Balance Policy outlines expectations for managing copays, deductibles, and private pay balances. Clients are responsible for keeping their accounts in good standing, with copays due after each session and deductibles payable upon claim processing. If a balance exceeds $250 or remains unpaid past the start of a new insurance year, services may be paused until resolved. Private pay clients are billed securely through IvyPay. If you're experiencing financial hardship, we encourage you to reach out to our office to discuss possible accommodations. View the full policy below for details.
Consent for Telehealth Services
Telehealth is a convenient and secure way to receive therapeutic support when meeting in person is not possible. Our Consent for Telehealth Consultation form outlines the benefits, risks, limitations, and expectations associated with virtual sessions. It ensures that both therapist and client understand the use of technology, confidentiality considerations, and emergency protocols related to remote care. By reviewing and signing this form, you’re affirming your understanding and agreement to engage in telehealth services. You can view or download the full consent form below.