Terms of Service
Music City Ketamine
Effective Date: November 15, 2024
Contact Information
Music City Ketamine
480 Duke Dr #100
Franklin, TN 37067
Phone: (615) 988-4600
1. Introduction and Acceptance of Terms
1.1 Service Agreement
This Terms of Service Agreement (“Agreement”) constitutes a legally binding contract between Music City Ketamine (“we,” “us,” “our,” or “the Provider”) and the individual receiving services (“you,” “your,” or “the Client”). This Agreement governs your access to and use of our ketamine therapy services, facilities, and related medical services.
1.2 Acceptance
By scheduling an appointment, receiving treatment, or using any of our services, you acknowledge that you have read, understood, and agree to be bound by these Terms of Service. If you do not agree to these terms, please do not use our services.
2. Description of Services
2.1 Primary Services
We provide:
- Ketamine therapy treatments
- Medical evaluation and screening
- Treatment planning and monitoring
- Follow-up care and support
- Related medical services
2.2 Supplementary Services
Additional services may include:
- Medical consultation
- Coordination with other healthcare providers
- Treatment documentation
- Prescription management
- Emergency support during business hours
2.3 Service Limitations
Our services explicitly do not include:
- Emergency medical care
- Primary care services
- Mental health crisis intervention
- Surgical procedures
- Long-term medication management outside of ketamine therapy
3. Service Delivery
3.1 Treatment Protocol
- Initial medical evaluation
- Customized treatment planning
- Monitored therapy sessions
- Progress assessment
- Follow-up care
3.2 Service Schedule
- By appointment only
- During published business hours
- Subject to provider availability
- Following prescribed treatment intervals
3.3 Quality Standards
We commit to:
- Licensed medical professionals
- Clean and safe facilities
- FDA-approved medications
- Standard medical protocols
- HIPAA compliance
4. Client Eligibility and Requirements
4.1 Medical Eligibility
Clients must:
- Meet medical screening criteria
- Provide complete medical history
- Disclose all current medications
- Meet physical health requirements
- Pass psychological screening
4.2 Documentation Requirements
Required documents include:
- Valid government ID
- Insurance information
- Medical records
- Signed consent forms
- Emergency contact information
4.3 Behavioral Requirements
Clients must maintain:
- Sobriety before treatments
- Compliance with protocols
- Respectful behavior
- Punctual attendance
- Honest communication
5. Service Policies
5.1 Scheduling
- Advance booking required
- Confirmation system
- Waitlist options
- Emergency scheduling procedures
- Treatment frequency limits
5.2 Cancellation Policy
- 24-hour notice required
- Late cancellation fees
- Rescheduling options
- No-show consequences
- Emergency exceptions
5.3 Service Modifications
We reserve the right to:
- Adjust treatment protocols
- Modify service hours
- Update procedures
- Change service providers
- Revise pricing
6. Payment Terms
6.1 Service Fees
- Published rate schedule
- Insurance billing options
- Payment timing
- Accepted payment methods
- Package pricing
6.2 Insurance and Coverage
- Verification process
- Pre-authorization requirements
- Coverage limitations
- Patient responsibility
- Direct billing procedures
6.3 Financial Policies
- Payment due dates
- Late payment handling
- Refund conditions
- Financial hardship options
- Collection procedures
7. Client Rights and Responsibilities
7.1 Client Rights
You have the right to:
- Informed consent
- Confidential treatment
- Access medical records
- Refuse treatment
- File grievances
7.2 Client Responsibilities
You are responsible for:
- Accurate information
- Following instructions
- Making payments
- Attending appointments
- Reporting concerns
8. Safety and Professional Standards
8.1 Medical Standards
We maintain:
- Current licenses
- Professional certification
- Ongoing training
- Quality assurance
- Safety protocols
8.2 Facility Standards
Our facility maintains:
- Clean environment
- Safety equipment
- Emergency procedures
- Security measures
- Privacy safeguards
9. Confidentiality and Privacy
9.1 Information Protection
We protect:
- Medical records
- Personal information
- Treatment details
- Payment information
- Communication records
9.2 Information Sharing
Authorized sharing with:
- Treatment providers
- Insurance companies
- Legal authorities
- Emergency contacts
- Authorized parties
10. Service Termination
10.1 Provider Termination
We may terminate services for:
- Medical necessity
- Safety concerns
- Non-compliance
- Non-payment
- Inappropriate behavior
10.2 Client Termination
You may terminate services:
- Upon written notice
- After payment completion
- Following medical clearance
- With proper documentation
- Through proper discharge
11. Liability and Risk
11.1 Service Risks
Acknowledged risks include:
- Treatment side effects
- Varied outcomes
- Medical complications
- Recovery variation
- Treatment limitations
11.2 Liability Limitations
Limited liability for:
- Treatment outcomes
- Indirect damages
- Third-party actions
- Force majeure events
- Personal decisions
12. Dispute Resolution
12.1 Grievance Process
- Written complaints
- Investigation procedure
- Resolution timeline
- Appeal process
- Documentation requirements
12.2 Legal Proceedings
- Jurisdiction
- Applicable law
- Mediation requirement
- Arbitration process
- Legal remedies
13. Changes to Services
13.1 Service Modifications
We may modify:
- Treatment protocols
- Service offerings
- Facility operations
- Staff assignments
- Business procedures
13.2 Notice of Changes
Changes communicated through:
- Written notice
- Facility posting
- Direct communication
- Website updates
- Email notification
14. Contact and Communication
14.1 Official Communications
Direct all communications to:
Music City Ketamine
480 Duke Dr #100
Franklin, TN 37067
Phone: (615) 988-4600
14.2 Emergency Contact
For emergencies:
- Call 911
- Local emergency room
- Crisis hotline
- On-call service
- Emergency protocols
15. Acknowledgment
By receiving services from Music City Ketamine, you acknowledge and agree to:
- These Terms of Service
- Treatment protocols
- Payment obligations
- Facility policies
- Professional standards
Last Updated: November 15, 2024