CENTER FOR INTEGRATIVE NEUROSCIENCE, LLC A first service sketch Website exercise companion | v0.1 review | September 5, 2026 For clinicians, practice teams, educators and others exploring a care idea. Purpose: organize one idea for a useful conversation. This is a brief planning exercise, not the full Starter Readiness Pack or the second-edition kit. HOW TO USE Save a copy, then replace the blank lines with your own notes in any text editor. Use a fictional or nonidentifying situation. No account or survey is required. Your edits to this local file are not submitted to CIN. Save them yourself. Allow about 10 minutes for an initial sketch; leave unknowns explicit. 1. NAME THE CARE NEED What is difficult between visits or across services? My notes: ____________________________________________________________ 2. DESCRIBE THE IMPROVEMENT What would you like the service to make easier for people receiving care? My notes: ____________________________________________________________ 3. SKETCH THE TEAM AND HANDOFF Who would take part? How would questions return to the treating team? My notes: ____________________________________________________________ 4. LIST ARRANGEMENTS TO INVESTIGATE Which service, professional-role and payment questions need separate review? My notes: ____________________________________________________________ 5. ASSIGN THREE MISSING FACTS Fact 1: Person who can help establish it: Source or next action: Fact 2: Person who can help establish it: Source or next action: Fact 3: Person who can help establish it: Source or next action: 6. CHOOSE THE NEXT CONVERSATION What will you bring, to whom, and for what decision? My notes: ____________________________________________________________ FICTIONAL WORKED EXAMPLE 1. Need: Some patients leave a medical appointment unsure how to follow the agreed care plan between visits. 2. Improvement: A planned opportunity to explain what is unclear and identify the next conversation they need. 3. Team: A medical clinician and mental health professional explore follow-up, with a named person to receive questions and clarify responsibilities. 4. Investigate: Define activities first; compare relevant service arrangements and the practice's actual payer products. No arrangement is selected. 5. Missing facts: The clinical lead clarifies activities; the practice manager checks available staff time; the billing lead locates applicable payer rules. 6. Conversation: Bring this sketch to the team to decide whether to develop a fuller proposal and which questions to resolve first. BEFORE YOU CONTINUE Can another person understand the care need and intended improvement? Are unknowns identified rather than filled with assumptions? Does each missing fact have a person, source or next action? Is the next decision clear? SCOPE AND NEXT STEPS Completing this exercise does not establish professional authority, a clinical protocol, staffing permission, coverage or payment. It supports preparation. Continue to the Implementation Kit page for a fictional proposal excerpt; use the Reader Companion for reading paths and edition-specific questions. The full kit and book remain in development. Kedge enrollment is not required. Source: adapted from CIN's six-prompt website exercise, private draft batch54, reviewed for this companion September 5, 2026. No clinical or payer rule is being established by the fictional example. Questions/corrections: info@integrative-neuroscience.com Include: A first service sketch, v0.1, and the section you mean. Do not send patient information or confidential records. You may copy and complete this exercise for your own or your team's planning. Copyright 2026 Center for Integrative Neuroscience, LLC.