These Terms of Service govern your access to and use of the Neuro On Call, PLLC website and related online services. By accessing this website, requesting an appointment, creating a patient-portal account, or using our online services, you agree to these terms.

These website terms do not replace the clinic's informed consent, telehealth consent, financial policy, Notice of Privacy Practices, or other forms that may be required before treatment.

Medical Emergencies

Neuro On Call does not provide emergency medical services. The website, email, text messaging, and patient portal are not monitored continuously and should not be used for emergencies.

Call 911 or go to the nearest emergency department if you experience symptoms such as:

• Sudden weakness, numbness, or facial drooping

• New trouble speaking or understanding speech

• Sudden loss of vision or new double vision

• A severe headache that begins suddenly

• A first seizure, a prolonged seizure, or repeated seizures without recovery

• Loss of consciousness

• New severe confusion

• Thoughts of harming yourself or another person

• Any other symptom that may represent a medical emergency

Do not wait for a response from Neuro On Call before seeking emergency care.

Our Services

Neuro On Call provides nonemergency neurological evaluation, treatment, follow-up care, and related services through telehealth.

Telehealth services may include secure video visits, audio communication when clinically appropriate and legally permitted, patient-portal communication, electronic prescribing, review of medical records, and coordination with pharmacies, laboratories, imaging centers, and other healthcare providers.

Available services may vary according to the patient's condition, age, physical location, applicable law, clinical need, and provider availability.

Provider Qualifications

Care is provided by a licensed Physician Assistant with experience in neurology.

The provider practices within the scope permitted by the laws and licensing requirements of the state where the patient is physically located. Physician supervision, collaboration, consultation, or other professional arrangements are used when required by applicable law.

Patient Eligibility and Location

Neuro On Call generally provides services to patients age 14 and older.

Patients under age 18 must have consent from a parent, legal guardian, or other person authorized by law unless state law permits the minor to consent independently to the requested service.

You must be physically located in a state where the treating provider is authorized to practice at the time of your appointment. You may be asked to confirm your identity, current physical location, telephone number, and emergency contact at the beginning of each visit.

Traveling to another state may affect whether Neuro On Call can provide care, issue prescriptions, or complete forms while you are there.

Establishing a Patient-Provider Relationship

Accessing this website, submitting a form, sending a message, or requesting an appointment does not by itself establish a patient-provider relationship.

A clinical relationship is established only after Neuro On Call accepts you as a patient and the provider completes an appropriate clinical evaluation.

Neuro On Call may decline or discontinue nonemergency services when the requested care is outside the provider's scope, cannot be provided safely through telehealth, requires an in-person examination, or is otherwise inappropriate or prohibited by law.

When appropriate, you may be advised to obtain in-person care, visit an emergency department, or establish care with another clinician.

Telehealth Limitations and Consent

Telehealth provides convenient access to care, but it has limitations. The provider may be unable to perform a complete physical examination, obtain immediate diagnostic testing, or observe findings that would be available during an in-person visit.

Technology failures, poor internet service, incomplete records, inaccurate information, or other factors may affect the visit.

By participating in a telehealth appointment, you acknowledge these limitations and agree to complete any separate telehealth consent required by Neuro On Call or applicable state law.

You may withdraw consent to telehealth when permitted by law. Withdrawal does not affect care already provided or financial obligations already incurred.

Your Responsibilities

You agree to:

• Provide accurate medical, demographic, insurance, and contact information

• Tell the provider where you are physically located during each appointment

• Disclose current medications, allergies, diagnoses, pregnancy status, and relevant medical history

• Inform the provider about care received from other healthcare professionals

• Participate from a reasonably private and safe location

• Avoid driving or operating machinery during an appointment

You also agree to:

• Follow agreed treatment and safety instructions

• Complete recommended testing, imaging, referrals, or in-person evaluations

• Use prescriptions only as directed

• Protect your patient-portal username and password

• Notify Neuro On Call if your contact or insurance information changes

• Treat clinic personnel respectfully

• Use the website, portal, and services only for lawful healthcare purposes

You are responsible for the accuracy of information you provide. Incomplete or inaccurate information may delay care or make telehealth treatment unsafe.

Diagnosis and Treatment

An appointment does not guarantee a particular diagnosis, medication, test, referral, work restriction, disability determination, driving clearance, or other requested outcome.

Clinical decisions are based on the provider's professional judgment, available information, applicable standards of care, and legal requirements.

Prescriptions

A visit does not guarantee that a prescription will be issued or renewed.

The provider may decline to prescribe when treatment is not clinically appropriate, adequate records are unavailable, required monitoring has not been completed, an in-person evaluation is needed, or prescribing is restricted by law.

Patients must provide accurate information about current medications, allergies, prior medication reactions, and other prescribers.

Pharmacies make their own dispensing decisions. Neuro On Call cannot require a pharmacy to fill a prescription or override its internal policies.

Patients should confirm that their selected pharmacy accepts prescriptions from a telehealth provider who is licensed in the patient's state but may be physically located elsewhere.

Some medications may require laboratory monitoring, prior authorization, in-person examination, specialist consultation, or additional documentation.

Insurance and Payment

Neuro On Call may participate with certain insurance plans and may also offer self-pay services.

Insurance participation does not guarantee that a particular visit, test, procedure, medication, or service will be covered. Benefit information provided before an appointment is an estimate and is not a promise of payment by the insurance company.

You are responsible for applicable deductibles, copayments, coinsurance, noncovered services, and charges denied by your insurance plan when permitted by law.

Self-pay charges and other amounts due are payable according to the financial terms provided when the appointment is scheduled.

Prices, insurance participation, and payment methods may change. Current information will be provided through scheduling or by clinic staff.

Cancellations, Late Arrivals, and Missed Appointments

Appointments must be canceled or rescheduled within the time stated in the clinic's scheduling and financial policies.

Late cancellations, missed appointments, and appointments that cannot proceed because the patient is unavailable, driving, located in an unauthorized state, or unable to complete identity verification may be subject to the disclosed fee.

Arriving late may shorten the available appointment time or require rescheduling.

Insurance generally does not pay missed-appointment fees. Patients are responsible for these charges unless prohibited by law.

Refunds

Fees for completed clinical services are generally nonrefundable.

A refund or account credit may be considered when a duplicate payment occurs, the clinic cancels the appointment, or another billing error is confirmed.

Refund decisions remain subject to applicable law, payer contracts, and the clinic's written financial policy.

Communication

Neuro On Call may communicate with you regarding appointments, billing, prescriptions, test results, referrals, portal messages, and other matters related to your care.

Ordinary email and text messages may not be fully secure. Private medical information should be sent through the secure patient portal whenever possible.

Messages are reviewed during posted business hours. Response times may vary. Sending repeated messages about the same issue does not create an emergency service or guarantee a faster response.

Medication refill requests should be submitted before the medication runs out. Refills may require an appointment, laboratory testing, or other monitoring.

Privacy

Medical information is handled according to applicable privacy laws and Neuro On Call's Notice of Privacy Practices.

Website information is handled according to our Website Privacy Policy.

Telehealth appointments, portal messages, billing information, and related records may be protected by HIPAA and applicable state privacy laws.

Third-Party Services

Neuro On Call may use or link to services operated by other organizations, including:

• Squarespace

• Google Analytics

• Meta Pixel

• Zocdoc

• CharmHealth

• CoverMyMeds

• Forus

• Payment processors

• Pharmacies

• Laboratories

• Imaging centers

• Health plans and pharmacy benefit managers

These organizations may have separate terms and privacy practices. Neuro On Call does not control and is not responsible for the independent acts, availability, content, or policies of services it does not operate.

Website Information

General information provided on this website is for educational and administrative purposes. It is not a diagnosis, personal medical advice, or a substitute for evaluation by a qualified healthcare professional.

Do not delay or disregard medical care because of information found on this website.

Acceptable Use

You may not:

• Attempt to access another person's records or account

• Submit false, misleading, or fraudulent information

• Interfere with the website, portal, or security systems

• Upload malicious software or harmful material

• Use clinic content for unlawful or commercial purposes without permission

• Harass, threaten, impersonate, or misuse clinic personnel or other users

Access may be restricted or terminated when misuse is suspected.

Intellectual Property

Unless otherwise stated, the website's text, graphics, logos, design, and original content belong to Neuro On Call, PLLC or are used with permission.

You may view and print website content for personal, noncommercial use. You may not reproduce, alter, distribute, sell, publish, or use clinic content or branding for commercial purposes without written permission.

Website Availability and Disclaimers

We work to keep the website and online services accurate and available. We do not guarantee that the website will always be uninterrupted, error-free, current, or compatible with every device.

Website content and administrative services are provided on an "as available" basis to the extent permitted by law.

Nothing in these terms limits patient rights or provider responsibilities that cannot legally be limited. These terms do not waive duties relating to professional healthcare services, applicable standards of care, or rights provided by federal or state law.

Limitation of Liability

To the extent permitted by law, Neuro On Call is not responsible for losses caused solely by events outside its reasonable control. These events may include widespread internet outages, failures of a patient's device or connection, unauthorized use of a patient's login information, or misuse of general website content.

This section does not exclude or limit liability that cannot lawfully be excluded or limited, including liability arising from professional negligence when established under applicable law.

Changes to These Terms

We may update these terms when our services, technology, fees, policies, vendors, or legal obligations change.

The revised terms will be posted on this page with an updated effective date.

Changes apply prospectively unless otherwise required by law.

Severability

If any provision of these terms is found unenforceable, the remaining provisions will continue to apply to the fullest extent permitted by law.

Contact Us

Questions about these terms may be directed to:

Neuro On Call, PLLC
15614 Huebner Road
Suite 110, #1059
San Antonio, Texas 78248

Telephone: (210) 775-0390
Email: info@neurooncall.org
Website: www.neurooncall.org