Answers to the questions we hear most often from patients considering care

Yes. The initial 15-minute call is completely free with no obligation. You'll speak directly with one of our physicians — not a salesperson or scheduler. We use this call to understand your situation and determine if our approach is likely to help.

No. You can book directly without a referral. However, we will request your relevant medical records so we can review what testing has already been done and avoid duplicating work unnecessarily.

That's exactly what the consultation call is for. We'll ask about your symptoms, what you've tried, and what hasn't worked. Based on that conversation, we'll tell you honestly whether your pattern matches what we treat. If we don't think we can help, we'll say so.

We specialize in complex neurological conditions including POTS and dysautonomia, ME/CFS, post-concussion syndrome, Long COVID, vestibular disorders (dizziness, vertigo, balance problems), chronic migraines, hypermobility-related neurological dysfunction, movement disorders, and neurodevelopmental conditions. Many of the patients we see carry more than one of these diagnoses — the overlap is common, and our evaluation is designed to find the underlying mechanisms regardless of how many labels are involved.

That is more common than not. We have condition-specific pages on our website because people often search by diagnosis, not because we treat each label with a separate protocol. Our testing is designed to understand the underlying mechanisms driving your symptoms, regardless of how many diagnoses you have been given.

No. We operate outside the insurance model because complex neurological cases often do not fit inside the limits that model imposes. Insurance-based care is typically built around standard protocols, brief visits, and very little room for real-time adjustment. Our model gives us the freedom to spend 20–30+ hours per week with patients in a specialized, high-touch setting, so we can evaluate thoroughly, treat intensively, and iterate quickly based on how your system responds.

Yes. Our services are eligible for HSA and FSA funds. Many patients use these accounts to cover their care.

Yes. We provide detailed superbills that you can submit to your insurance for potential out-of-network reimbursement. Coverage varies by plan — we recommend checking with your insurance about your out-of-network benefits before your visit.

The total cost depends on how long you stay and what level of treatment makes sense once your findings are clear. We know financial planning matters, especially when travel and time away from home are involved. That is exactly why we start with a free consultation. Once we understand your specific situation, we will give you a clear, straightforward breakdown of the costs before you commit to anything.

Yes. Your first commitment is the evaluation itself. You are not prepaying for a full treatment block before we know what your testing shows. Some patients come for diagnostic testing only. In most cases, because patients have traveled in from out of state, treatment begins right after the evaluation. Either way, you only pay for the care you actually receive.

Not at the beginning. The first phase of care has to happen in person, because we do not build treatment plans from symptoms, diagnostic labels, or guesswork. We need objective testing and in-person treatment to understand what is driving your symptoms and to see how your system responds in real time. Once that work is done, post-visit virtual follow-up is included in your care. That support is built around the findings and progress from your time in clinic.

That is one of the most common concerns we hear, especially from patients who have been mostly housebound or bedridden. Many of our patients were convinced they were too unwell to make the trip — right up until they arrived. They were not wrong to feel that way, and they were not the exception. Our team can help you think through the logistics, timing, and lodging options that make the visit as manageable as possible. And once you arrive, our clinic is set up to meet you where you are — with rest breaks, recliners, and a pace that accounts for the reality of your condition.

For many patients who move into treatment, a 2–3 week stay is common. Some come for a shorter diagnostic-focused visit, including a single evaluation day, while others choose to stay longer to pursue more intensive treatment and make deeper progress before being sent home with a home program.

Our patient care coordinator can help you plan logistics. We work with patients from across the country and internationally — we're experienced in making the process as smooth as possible. We can recommend nearby accommodations and help coordinate your visit schedule. For a full overview of getting here, where to stay, and what to expect, visit our Plan Your Visit page.

We're located in Chelsea, Michigan — about 15 miles west of Ann Arbor and approximately 60 miles from Detroit Metro Airport (DTW). The area has several hotel options for out-of-town patients.

The brain is the most complex system in the known universe. To understand that is to understand that it deserves a thorough, individualized assessment. Conventional neurology's role is to view the brain and nervous system in 2D and 3D, usually through static images designed to detect catastrophic, life-threatening pathology. Functional neurology enters once those findings are ruled out and introduces a 4th dimension: time. It looks at how the brain and nervous system perform, compensate, and break down in real time under moment-to-moment changes in environment.

We will be honest with you. By the time most people find us, they have already been through a lot — physically, emotionally, and financially. The last thing they need is another clinic giving them false hope. If we do not believe our approach is the right fit, we will tell you plainly. And when possible, we will try to help you leave with more clarity than you came in with.

Results can show up in two ways: how you feel, and what we can measure. Some patients notice symptom relief quickly. Others improve more gradually. But we do not rely on symptoms alone to decide whether treatment is working. Unlike most clinics who only use testing to diagnose, we re-test throughout your visit to measure progress. In complex cases the data sometimes improves before your body fully catches up to the difference. Our goal is not just for you to feel better temporarily because you are in a healing environment with attentive doctors. It is to verify that the system underneath your symptoms is moving in the right direction, so those changes can hold when you return home.

Whether you've seen a local cardiologist or traveled to one of the major dysautonomia hospitals, the protocol is often still built around the same basic framework. Standard POTS workups are designed to confirm the diagnosis and manage the presentation, not to fully investigate the mechanism driving it. Our evaluation asks a different set of questions. Instead of stopping at whether you have "POTS," we measure how blood flow to the brain is being regulated under stress, and whether neurological, visual, vestibular, cervical, or other upstream factors are contributing to the breakdown. If you've spent years trying medications, lifestyle changes, and supplements without resolution, exploring these contributors might be the very thing that gets you back to living your life.

We do not ask patients to stop medications abruptly, and any medication changes should be made with your prescribing physician. Our goal is to improve the underlying physiology so your body can regulate itself better over time. As that happens, many patients find they need less medication during care, and many improve enough over time to come off them entirely. Here's how we test whether or not your medications are helping or hurting you.

No ethical provider can guarantee a specific outcome. What we can promise is a thorough evaluation, treatment guided by objective findings, and re-testing throughout care to measure whether the physiology is actually changing. Most clinics use testing as a one-time declaration of diagnosis. We use it as part of the treatment process itself: to verify progress, guide decisions, and avoid guessing whether or not you're actually getting better.