Terms and Conditions

Welcome to NSI! We are thrilled to have the opportunity to care for you and are committed to providing exceptional service tailored to your unique needs. Our mission is to enhance your overall well-being. To ensure a seamless experience, we kindly ask that you review the following office policies. These guidelines are designed to help us maintain the highest standards of care while addressing your concerns and goals effectively. We appreciate your cooperation and look forward to serving you.

1. Required Paperwork: To ensure the best possible care, please complete all required patient portal forms at least one day prior to your appointment. This allows Dr. Tolman to thoroughly review your information in advance. Depending on the type of appointment you schedule, additional paperwork may be required. These forms are essential for us to fully understand your concerns, goals, and medical history, enabling us to provide the highest quality service tailored to your needs. All patient portal paperwork must be completed at least one (1) day prior to the appointment for Dr. Tolman’s review. Failure to do so may result in appointment cancellation.

2. Scheduled Office Visit | Late Arrivals: Patients should arrive 5-10 minutes before their appointment to complete paperwork and address any questions. If you anticipate being late, please call us promptly. Appointments are scheduled with specific time allocations; if you arrive late, we may not be able to extend your appointment due to other scheduled patients.

3. Emergencies: If you have a true emergency related to your procedure such as, but not limited to progressive arm or leg weakness or numbness, loss of bowel or bladder control, or a severe complication from an oral or injectable medicine such as fever with increased pain, a state of shock or trouble breathing, you need to go to the emergency room. The ER doctor will contact us if appropriate.

4. Phone Policy:  When you leave a message, please be assured that our team will make every effort to return your call within 24 hours. To ensure that we have all the necessary information, please leave a detailed message. Please note phone calls will be returned based on medical urgency, as assessed by our nurses and physicians. 

5. Credit Card on File: All patients, excluding follow-ups, are required to have a credit card on file. When booking an appointment online, a portion of the service fee will be charged to the credit card and credited to the patient’s wallet. These funds will be applied to the service upon completion. Wallet funds can be used for any service at NSI and must be redeemed within one (1) year from the date the funds were processed. Additionally, a 3.5% processing fee will be automatically applied to payments made with Visa, MasterCard, Discover, American Express, debit cards, or charge cards, and will be shown on the receipt as "taxes."

6. No-Show Policy: We understand that there are times when you must miss an appointment due to emergencies or obligations for work or family. However, if the patient fails to attend their scheduled appointment without notice, the credit card on file will be charged 75% of the scheduled procedure cost, you may be preventing another patient from getting a much needed treatment.

7. Cancellation Policy: Cancellations or changes to appointments require at least two (2) business days' notice. Failure to provide adequate notice will result in a $100 charge to the credit card on file.

8. Reinstatement Fee: If a patient’s credit card is declined for an NSI membership or transaction, a reinstatement fee of $150 will be automatically applied to your account.

9. Food and Drug Administration ("FDA"):  You understand the FDA is a federal agency responsible for regulating the approval and use of drugs, medical devices, and other treatments in the United States. While the FDA approves medications and devices for specific uses, the off-label use of FDA-approved products—meaning uses not explicitly approved by the FDA—is a common, well-accepted practice in medical care. For example, many widely performed procedures, such as epidural injections of corticosteroids, utilize medications or techniques in an off-label manner to meet patient needs. Similarly, your treatment may involve the off-label use of FDA-approved medications or devices, a practice that allows healthcare providers to tailor care based on the latest evidence and individual circumstances.

10. Lab Orders:  For certain procedures, you may be provided with lab orders as part of your care plan. After the courtesy lab orders for your initial assessment and follow-up intervals (e.g., 1, 6, or 12 months), a $30 fee will apply for any replacement lab orders that are misplaced or lost. Please retain these documents to avoid unnecessary charges. Kindly note that any lab fees associated with these tests are billed directly by the laboratory and are not included in office fees. Dr. Tolman will review your lab results, monitor your progress, and, if necessary, recommend additional lab work to ensure optimal outcomes

 11. Refund Policy: Once services are purchased, refunds are not available. However, unused service balances from treatment packages will be added to the patient’s wallet unless the cancellation policy applies. Wallet funds can be used for any aesthetic service at NSI and must be used within one (1) year from the date they are credited. I understand that once the procedure has been booked and prepared for, the sterile equipment, medications, and other materials used are considered non-reusable and cannot be returned or repurposed. I acknowledge that due to this, the cost of the procedure is non-refundable, regardless of the outcome or whether the procedure can be completed due to unforeseen circumstances or complications. By signing this consent, I agree to this policy and waive any right to request a refund once the booking has been confirmed or the procedure has commenced.

NSI Office Policy Agreement (“Agreement”) is entered by and between Shelby Delaurier Tolman and Brandon Ross Tolman, individually and as representatives of Nashville Spine Institute LLC, Nashville Med Spa LLC, Nashville LUXE LLC, Brandon Tolman Doctor LLC, Atlanta Med Spa LLC, Georgia Sports and Spine LLC, and Delaurier Consulting LLC (collectively referred to as the “Disclosing Parties”)  and  you, the patient signing (“Recipient”). Disclosing Parties and the Recipient are collectively referred to as the “Parties.” For purposes of this Agreement, the term “Recipient Parties” refers to the Recipient and includes the Recipient’s estate, any corporation or business entity in which the Recipient has an ownership or beneficial interest, and any and all persons or entities owned or controlled by the Recipient or such businesses, including but not limited to affiliates, employees, officers, directors, managers, accountants, and agents. Additionally, “Recipient Parties” encompasses the Recipient’s heirs, executors, representatives, administrators, licensees, successors, and assigns. In exchange for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Recipient irrevocably agrees to the terms set forth in this Agreement.

Liability Disclaimer: “Disclosing Parties”,  are not liable for any injuries, accidents, or damages resulting from rain, snow, ice, or other weather-related hazards while inside or outside the premises of the building. By entering onto the property, you release Disclosing parties, associates and their respective parents, subsidiaries, affiliates, licensees, assignees and their officers, directors, members, managers, agents, distributions and employees harmless from and against and all liabilities, damages, judgments, losses, costs and expenses (including, without limitation, reasonable counsel fees) of any kind or nature whatsoever.  The safety of our patients and staff is our top priority. During periods of inclement weather, including snowstorms, icy conditions, or other hazardous situations, we take reasonable steps to ensure that our facility is accessible and safe. However, we cannot guarantee the complete removal of all risks associated with adverse weather conditions. By entering the premises during inclement weather, you acknowledge and agree to the following:

› Assumption of Risk: You understand and accept that snow, ice, and other weather-related hazards may be present on the property. By choosing to attend your appointment during such conditions, you voluntarily assume all risks associated with traveling to and entering the premises.

› Personal Responsibility: It is your responsibility to exercise caution when walking on stairs, sidewalks, parking lots, or other areas of the property. Please use designated walkways and handrails where available.

› Communication: If you do not feel safe traveling to your appointment due to weather conditions, we encourage you to contact the office immediately. We will be happy to reschedule or provide alternative options to accommodate your needs.

Failure to review this Agreement with Recipient and/or Recipient Parties legal counsel shall not impair the legally binding nature of this Agreement; and (c) Recipient and/or Recipient Parties have fully read and Recipient and/or Recipient Parties understand and voluntarily accept all of the terms and conditions of this Agreement. Recipient and/or Recipient Parties certify that Recipient and/or Recipient Parties are eighteen (18) years of age or older.