The information below is provided so you can review the Participation Agreement and Referral Fee Schedule in advance. This public page is for informational preview purposes only. If your application is approved, you will receive the official version of this agreement via a secure e‑signature platform to review and sign electronically. The signed agreement will control and will be the binding version between you and NeuroTransform.

NEUROTRANSFORM REFERRAL NETWORK

PARTICIPATION AGREEMENT

Effective Date: March 1, 2026

This Participation Agreement (“Agreement”) outlines the expectations for coaches and practitioners (“Participant”) who choose to be part of the NeuroTransform Referral Network operated by NeuroTransform LLC (“NeuroTransform,” “we,” “our,” or “us”).

1. RELATIONSHIP AND INDEPENDENCE

  • The Participant operates an independent practice and is not an employee, partner, or agent of NeuroTransform.

  • The Participant understands that NeuroTransform provides education and referrals only and does not provide medical care, psychotherapy, or crisis services, and agrees not to describe or present NeuroTransform to clients as providing those services.

  • The Participant is solely responsible for their own professional services, decisions, and compliance with all applicable laws, regulations, and ethical standards.

2. ELIGIBILITY AND STANDARDS

  • The Participant confirms that they meet the NeuroTransform Referral Network Eligibility & Values criteria, including training, scope of practice, and values alignment.

  • The Participant agrees to maintain any licenses, certifications, credentials, registrations, or professional memberships required for their work, and to keep them in good standing.

  • The Participant agrees to maintain appropriate professional liability insurance if required by law, licensing rules, professional standards, or the nature of their services.

  • The Participant is responsible for complying with all applicable laws, regulations, professional codes, ethical standards, and scope-of-practice requirements related to their services.

  • The Participant agrees to notify NeuroTransform promptly of any material changes that could affect their eligibility or participation in the Referral Network, including changes to credentials, scope of practice, disciplinary actions, formal complaints, loss or suspension of a license or certification, or other professional concerns.

3. REFERRAL PROCESS AND FEES

  • NeuroTransform may, at its discretion, refer potential clients to the Participant based on fit, availability, and client needs.

  • For each client who completes a first paid session with the Participant as a direct result of a NeuroTransform referral, the Participant agrees to pay NeuroTransform a one-time referral fee as specified in the current NeuroTransform Referral Fee Schedule. The fee becomes due upon completion of the first paid session and shall be paid within five (5) calendar days. No fee is owed if the referred client does not attend a paid session.

  • Referral fees apply only where permitted by applicable law, licensing rules, and professional ethical standards. Participants are responsible for determining whether they may ethically and legally pay referral fees within their profession and jurisdiction. If a referral fee is not permitted, the Participant must notify NeuroTransform before accepting referrals.

  • The Participant is responsible for timely payment of any referral fees and for maintaining accurate records of clients originating from NeuroTransform referrals.

  • NeuroTransform may update the Referral Fee Schedule from time to time. Any changes will be provided in writing and will apply only to new referrals made after the effective date of the updated schedule. Existing referrals in progress at the time of a fee change will be subject to the fee in effect at the time the referral was made.

4. HOW TO INTRODUCE NEUROTRANSFORM TO CLIENTS

During the early part of the first session with a client referred through NeuroTransform, the Participant agrees to briefly explain the relationship in clear, simple language. For example:

“I’m part of the NeuroTransform referral network, which connects people with practitioners who support stress, habits, behavior change, and brain-based patterns through mind-body practices. NeuroTransform helped connect us. I run my own independent practice, and I’ll be working with you directly. If you choose to complete a first paid session, I may pay NeuroTransform a one-time referral fee for helping make the connection.”

The Participant agrees to disclose this referral relationship, including any applicable one-time referral fee, to the client in clear and understandable language before or during the first paid session. The Participant may adapt this wording to their own voice, as long as it clearly states that NeuroTransform made the referral and that the Participant's practice is independent.

5. NEUROPLASTICITY AND EDUCATION

  • During the first session with a client referred through NeuroTransform, the Participant agrees to briefly introduce the concept of neuroplasticity in a way that is appropriate to the client's understanding and context, including how it relates to habits and behavior change.

  • A sample script might be:

    “One of the ideas we draw on in this work is neuroplasticity—the brain's ability to change and form new patterns over time. This is part of how habits and behavior change happen. The practices we’ll use are meant to support those brain‑level changes, gently and at your own pace.”

  • Participants are encouraged, but not required, to revisit concepts related to neuroplasticity, habit formation, and brain‑based behavior change later in the work when it feels supportive and relevant.

6. COMMUNICATION AND COORDINATION

  • The Participant agrees to respond to reasonable communication from NeuroTransform regarding referrals, fit, or client experience, while maintaining client confidentiality and any applicable consent requirements.

  • The Participant will obtain appropriate client consent before sharing any identifiable client information back to NeuroTransform.

7. TERM, UPDATES, AND TERMINATION

  • Participation in the NeuroTransform Referral Network is ongoing unless ended by either party.

  • NeuroTransform may update network standards from time to time and will notify Participants of any material changes. Continued participation after notice of changes constitutes acceptance.

  • Either the Participant or NeuroTransform may end participation in the network at any time, for any reason, by providing written notice. Ending participation does not cancel referral fees already owed for prior referrals.

8. ACKNOWLEDGMENT

By joining the NeuroTransform Referral Network and accepting referrals, the Participant acknowledges that they have read, understood, and agree to this Participation Agreement, in addition to NeuroTransform's publicly stated Eligibility & Values, Privacy Policy, Terms of Use, and Disclaimer.

NEUROTRANSFORM REFERRAL FEE SCHEDULE

Effective Date: March 1, 2026

Referral Fee Structure

NeuroTransform operates on a simple, one-time referral fee model to support the coordination and maintenance of our referral network.

Fee Amount:
Fifty dollars ($50.00 USD) per referred client who completes a first paid session with the Participant.

Legal and Ethical Restrictions:
Referral fees are subject to applicable legal, licensing, and ethical restrictions. If a Participant is not permitted to pay referral fees, they must notify NeuroTransform before accepting referrals.

When the Fee Is Due:
The referral fee becomes due upon completion of the first paid session between the referred client and the Participant. Payment must be submitted within five (5) calendar days of that first session.

When No Fee Is Owed:
No referral fee is owed if the referred client does not attend or complete a paid session with the Participant.

Payment Method:
Payment instructions and preferred method (Venmo, Zelle, PayPal, invoice, etc.) will be provided by NeuroTransform at the time of referral or upon joining the network.

Updates to This Schedule:
NeuroTransform may update the Referral Fee Schedule from time to time. Any changes will be provided to Participants in writing (which may include email) together with the effective date of the update. Updated fees will apply only to new referrals made after the effective date of the updated schedule. By continuing to accept new referrals from NeuroTransform after the effective date of an updated Referral Fee Schedule, the Participant agrees to the updated fees.

For questions about referral fees or payment, please contact:
NeuroTransform LLC

info@neurotransform.com