The Fine Print in Large Print Format

MindHacker Neurofeedback and Brain Optimization uses NeurOptimal® Dynamical Neurofeedback Technology, a cutting-edge program that is brain training, not treatment. Unlike other systems that require a practitioner to provide a "diagnosis" and then decide on which frequencies they will use, often pushing frequencies into the brain that can create new symptoms and side effects, NeurOptimal® focuses on optimizing brain functioning by improving the Central Nervous System's (CNS) flexibility, resilience, and stability. This is training (not treatment) of the central nervous system to work more efficiently and effectively which results in problems and symptoms resolving naturally. No diagnosis is required.

The expertise is the NeurOptimal® software, based on years of research and development by Dr. Valdean Brown and Dr. Susan Brown, who have worked with neurofeedback technology for over 20 years. The mathematical computations that are programmed into the software allow automatic adjustments with the brain's own feedback.

Nothing is being pushed into the brain or removed from the brain. NeurOptimal® is simply a "mirror" to the client's brain/CNS and provides moment to moment feedback on the brain's activity. The software offers information to the brain and CNS through the sensors attached to the brain and the brain makes the adjustments based on whether or not it wants to accept the feedback.

NeurOptimal® trains outside the awareness of the conscious mind, which operates much too slowly for NeurOptimal® software computations. The client can relax during the session and does not have to achieve anything.

Multiple frequencies balance off other frequencies. One cannot "overtrain". Everyone gets Peak Performance as well as help with their "issues."

CLIENT CONSENT FORM

TO BE SIGNED BY ALL CLIENTS CHOOSING TO USE THE NeurOptimal® SOFTWARE IN CONJUNCTION WITH MINDHACKER NEUROFEEDBACK AND BRAIN OPTIMIZATION

MINDHACKER NEUROFEEDBACK AND BRAIN OPTIMIZATION

CLIENT CONSENT FORM

I understand that NeurOptimal® is not a medical treatment, device or methodology. It is not used to diagnose medical disorders nor is it used as a medical treatment for disorders and has not been approved for any medical purpose by the FDA, Health Canada or any other governing agency.

While Zengar users may or may not be licensed health care practitioners, their use of NeurOptimal® is solely as a tool for brain training and optimization and not as a means of diagnosis or as a medical intervention. I am satisfied with the information I have been provided (verbal, written or otherwise) by my trainer on the effects I can expect during my NeurOptimal® training and my questions have been answered to my satisfaction.

I understand that it is not possible to predict what my central nervous system will do with the information it is offered and consequently there can be no guarantee as to the results of my training. I agree to cease training if I am less than happy with the results I am getting.

I understand NeurOptimal® is purely a source of information and does not direct the response of the central nervous system. Consequently I agree to not hold Zengar Institute Inc, Terra Angelica LLC d/b/a MindHacker Neurofeedback and Brain Optimization or any of its users and trainers responsible for a less than desired outcome or any outcome that may be considered negative.

I understand and accept that as my central nervous system makes changes, I may notice the need for medications I am on to be adjusted accordingly and it is my responsibility to seek medical consultation for any changes in symptoms I might experience.

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TRAINING FEE GUIDELINES AND DISCLOSURE

This information will help clarify for you some of the assumptions we use, that underlie our work together.

1. Professional Licensure. Although I have a Master's Degree in Rehabilitation Psychology, I am not licensed as a psychologist in the State of Texas, and therefore cannot, and do not, practice psychology as defined by the law here. What this means is that I do not diagnose, nor do I treat, psychological or medical disorders. My practice is limited to offering NeurOptimal® training for personal growth, transformation and enhancement.

2. Fees are due in advance of service. We do not work with insurance or submit to third parties. We can provide a receipt upon request and you can seek reimbursement as you see fit.

3. Our fees are in US Currency. We accept cash and credit cards / debit cards only. No checks.

4. Fees are $135.00 per session.

5. Session length is about 50 minutes, so you will typically be in and out within the hour. Please arrive a few minutes ahead of your scheduled appointment so you have time to complete any paperwork, use the facilities, etc. It you arrive late, we can still complete the session but will need to finish at its appointed time so as not to inconvenience the next client. We will work with you to provide the maximum training time we can in the time we have.

6. Cancellation policy. Cancellations must be made within 24 hours prior to the scheduled appointment time. Your credit card will need to be provided to keep on file and will be charged for any missed or No Show appointments. This means you need to call before 24 hours before the start of the session (not the “night before”) to not incur charges, and it means the reason for your cancellation is not a consideration. While we can—and do— feel personally sympathetic to issues that can arise, please consider your booking like a concert ticket. Feel free to use it or not, as supports your best interests at the time.

7. We do not provide emergency coverage and may not be available for blocks of time, such as weekends or holidays. You are welcome to call us between 10am and 9pm any day of the week or email at any time, and we will get back to you as soon as we are able. If you require medical or mental health support, please contact your physician or therapist.

8. Please note we reserve the right whether to accept a particular individual for training or not and may opt to discontinue training services with a client.

Please sign below that you have read, understood and are able and willing to work within these guidelines.

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