Informed Concent

Effective Date: September 15, 2025
Last Updated: February 6, 2026

I. Who We Are

Josi Health, Inc. provides administrative and technology services (e.g., the website, appointment booking, billing, and support).

II. Description of Services

Josi Health provides psychological assessment and diagnostic evaluations for autistic adults via telehealth.

Josi Health Providers are licensed, trained professionals.
You are engaging in diagnostic services voluntarily and may stop at any time.

III. Risks and Benefits

A diagnostic evaluation may:

• Provide clarity and understanding

• Support access to accommodations, services, and next steps

It may also involve discussing sensitive personal history or experiences that can feel emotionally difficult.
Diagnostic outcomes are not guaranteed.

IV. Telehealth and Location

You must be physically located in a state where your provider is licensed at the time of your evaluation.
If you relocate or travel, notify us immediately so we can verify licensure eligibility.

You agree to:

• Use a secure internet connection

• Join sessions from a private, quiet location

• Inform us if your location or contact info changes

V. Emergency Protocol

Josi Health is not a crisis provider.

If you are in immediate danger, call 911 or go to your nearest emergency room.

You agree to provide:

• Your physical location

• An emergency contact person

Your provider may contact these parties if there is a serious safety concern.

VI. Financial Responsibility and Insurance Billing

• You are responsible for all out-of-pocket costs, including copays, deductibles, or fees not covered by insurance.

• You agree to keep a valid payment method on file and authorize Josi Health to charge it for any amounts owed.

• You authorize Josi Health Medical Services and its providers to release necessary information to your insurance company and to bill them on your behalf.

VII. Messaging and Communication Consent

You consent to receive communications from Josi Health and your clinical provider by:

• Email

• Phone call

• Text message (SMS)

These communications may relate to:

• Scheduling 

• Appointment reminders

• Evaluation process

• Billing

• Account support

You acknowledge:

• Texts may not be encrypted and could be intercepted.

• You may opt out of marketing or non-essential messages anytime by replying STOP, unsubscribing, or contacting our support team at contact@josihealth.com or (832) 301 9992.

• You are not required to receive promotional communications to receive care.

• Cell phone carriers may store messages

• Message and data rates may apply

• Message delivery cannot be guaranteed

Essential updates (e.g., appointment reminders, billing notices) cannot be opted out of. 

You can opt out of receiving text messages at any time by replying “STOP” to any message. For help with text message services, reply “HELP” to any message. Message frequency may vary.

VIII. Use of De-Identified Data

We may use de-identified data to improve our services and evaluate outcomes.
No identifying information is included in such analyses.

IX. Consent

By proceeding, you confirm:

• You have read and understand this Informed Consent

• You voluntarily agree to receive diagnostic services via telehealth

• You accept responsibility for payment and billing policies

• You agree to our communication and data policies