Terms of Service

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TERMS OF SERVICE Journey Mental Health & Wellness PLLC | journeymhw.com Effective Date: July 2026 | Last Updated: July 2026

Please read these Terms of Service carefully before using journeymhw.com or purchasing any services from Journey Mental Health & Wellness PLLC. By accessing our website or using our services, you agree to be bound by these terms.

1. ABOUT US

Journey Mental Health & Wellness PLLC ("Journey MHW," "we," "us," or "our") is a virtual psychiatric practice owned and operated by Christopher James Spitale, PMHNP-BC, licensed in Texas and Colorado. We provide telehealth medication management services for ADHD, generalized anxiety disorder (GAD), and major depressive disorder (MDD) to patients physically located in Texas and Colorado.

2. ACCEPTANCE OF TERMS

By visiting journeymhw.com, booking an appointment, or purchasing any service, you confirm that you:

Are at least 18 years of age, or are a parent or legal guardian of a patient aged 13–17
Have read, understood, and agree to these Terms of Service
Have read and agree to our Privacy Policy
Are physically located in Texas or Colorado at the time of any telehealth appointment

3. SERVICES

Journey Mental Health & Wellness PLLC provides virtual psychiatric medication management services via telehealth. Our services include:

Initial psychiatric evaluations
Ongoing medication management for ADHD, anxiety, and depression
Follow-up appointments and prescription management
ADHD cognitive testing via Creyos
Secure messaging for clinical questions between visits

Our services are available only to patients physically located in Texas or Colorado at the time of their appointment. We do not provide services to patients in other states.

Not an Emergency Service: Our services are not appropriate for psychiatric emergencies. If you or someone else is in immediate danger, call 911. If you are experiencing a mental health crisis or having thoughts of self-harm, call or text 988 (Suicide & Crisis Lifeline) immediately.

4. ELIGIBILITY

To receive services from Journey Mental Health & Wellness PLLC, you must:

Be 13 years of age or older (patients under 18 require parental or guardian consent)
Be physically located in Texas or Colorado at the time of your appointment
Have a valid government-issued photo ID
Complete all required intake forms and consent documents prior to your first appointment

5. APPOINTMENTS AND CANCELLATIONS

Booking: Appointments are booked through our SimplePractice scheduling portal at christopher-spitale6207.clientsecure.me.

Cancellation Policy:

Cancellations made less than 24 hours before your scheduled appointment are subject to a $100 late cancellation fee
No-call, no-show appointments are subject to a $150 fee
Fees are charged to the payment method on file

Rescheduling: We encourage patients to reschedule rather than cancel whenever possible. Please contact us as soon as possible if you need to make changes to your appointment.

6. FEES AND PAYMENT

Self-Pay Rates:

Initial evaluation: $175
Follow-up visits: $100
Annual Care Plan: $720/year

Insurance: We accept Cigna, Blue Cross Blue Shield (BCBS), Aetna, and many of their subsidiaries. Insurance coverage and patient responsibility vary by plan. Patients are responsible for any amounts not covered by insurance, including copays, deductibles, and coinsurance.

Annual Care Plan: The Annual Care Plan is a prepaid, all-inclusive care package. By purchasing the Annual Care Plan, you agree to the terms outlined on the product page, including the services included and payment terms. The Annual Care Plan is non-refundable once services have commenced.

Financing: Flexible payment options are available through Affirm and Shop Pay. Financing terms are subject to approval by the respective financing provider. Journey MHW is not responsible for financing decisions made by third-party providers.

Late Fees: Unpaid balances may be subject to collection procedures.

7. TELEHEALTH CONSENT

By booking a telehealth appointment with Journey Mental Health & Wellness PLLC, you acknowledge that:

Telehealth services are provided via SimplePractice's HIPAA-compliant video platform
You have a private, secure location available for your appointment
You understand the limitations of telehealth compared to in-person care
You have completed and signed our telehealth informed consent form prior to your first appointment
You are physically located in a state where our provider is licensed (Texas or Colorado) at the time of your visit

8. PRESCRIBING POLICY

Journey Mental Health & Wellness PLLC prescribes medications as part of our medication management services. By receiving prescriptions from our practice, you agree to:

Use prescribed medications only as directed
Disclose all current medications, supplements, and substances to your provider
Not share, sell, or transfer prescribed medications to any other person
Comply with the terms of our Controlled Substance Agreement, signed at intake
Notify your provider of any side effects or concerns

Prescriptions are sent electronically to your pharmacy of choice via DrFirst. We do not provide paper prescriptions or call-in prescriptions for controlled substances.

Early Refills: Early refill requests are evaluated on a case-by-case basis. Medications reported as lost or stolen require a police report before an early replacement prescription will be issued.

9. PATIENT RESPONSIBILITIES

As a patient of Journey Mental Health & Wellness PLLC, you agree to:

Provide accurate and complete information at all times
Attend scheduled appointments or provide timely notice of cancellation
Treat our provider and staff with respect
Complete required assessments and testing as requested (including Creyos ADHD testing where applicable)
Notify us immediately if your location changes to a state where we are not licensed
Follow your treatment plan and communicate concerns promptly

10. LIMITATIONS OF SERVICES

Our services are limited to medication management and do not include:

Primary care services
Emergency psychiatric care
Inpatient or residential treatment
Court-ordered evaluations or forensic psychiatry
Disability evaluations or documentation for legal proceedings

If you require services beyond our scope, we will make every effort to provide appropriate referrals.

11. TERMINATION OF SERVICES

Journey Mental Health & Wellness PLLC reserves the right to discontinue services to any patient at our sole discretion, including but not limited to cases involving:

Violation of these Terms of Service or our Controlled Substance Agreement
Threatening, abusive, or disrespectful behavior toward staff
Suspected diversion, misuse, or fraud related to controlled substances
Non-compliance with treatment recommendations
Repeated no-shows or late cancellations

In non-emergency situations, we will provide reasonable notice and assistance with transition of care.

12. INTELLECTUAL PROPERTY

All content on journeymhw.com, including text, graphics, logos, and images, is the property of Journey Mental Health & Wellness PLLC and is protected by applicable copyright and trademark laws. You may not reproduce, distribute, or use any content from our website without our express written permission.

13. DISCLAIMER OF WARRANTIES

Our website and services are provided "as is" without warranties of any kind, express or implied. We do not warrant that our website will be uninterrupted, error-free, or free of viruses or other harmful components. We do not guarantee specific clinical outcomes from our services.

14. LIMITATION OF LIABILITY

To the fullest extent permitted by law, Journey Mental Health & Wellness PLLC, its owner, and its affiliates shall not be liable for any indirect, incidental, special, or consequential damages arising from your use of our website or services. Our total liability to you for any claim shall not exceed the amount you paid for services in the three months preceding the claim.

15. INDEMNIFICATION

You agree to indemnify and hold harmless Journey Mental Health & Wellness PLLC, its owner, and its affiliates from any claims, losses, damages, or expenses (including reasonable attorneys' fees) arising from your violation of these Terms of Service or your use of our services.

16. GOVERNING LAW

These Terms of Service are governed by the laws of the State of Texas, without regard to its conflict of law provisions. Any disputes arising under these terms shall be resolved in the courts of Collin County, Texas.

17. CHANGES TO THESE TERMS

We reserve the right to modify these Terms of Service at any time. Changes will be posted on this page with an updated effective date. Your continued use of our website or services after changes are posted constitutes your acceptance of the updated terms.

18. CONTACT US

If you have questions about these Terms of Service, please contact us:

Journey Mental Health & Wellness PLLC Christopher James Spitale, PMHNP-BC Email: jamie@journeymhw.com Phone: (469) 427-3480 Website: journeymhw.com