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practice POLICIES AND CONSENT FORMS

 

In order to provide you with the best treatment, bill insurance, and create clear expectations, we require all patients to fill out our online intake forms and consent forms prior to their first appointment and annually every year. Your appointment may be canceled and we cannot prescribe medications if you do not fill out these essential and legally required forms. If you choose to not fill out the forms, you will still remain accountable to the practice policies below. The easiest way to fill out these forms online is via ONPATIENT PORTAL. Please refer to our HIPAA Data User Agreement.

*Note that our practice follows a holistic treatment model and we are very conservative with controlled medications. We use controlled medications sparingly and do not go above FDA recommended doses. For new patients with concerns about ADHD, we may require neuropsychological testing, urine drug screens, as well as records from previous providers. We also have a strict controlled medication agreement form.

 

Telehealth Appointment Policy

At our practice, we are committed to providing the highest quality care, whether in person or virtually. To ensure the success of your telehealth appointments, we ask that all patients take responsibility for having a reliable internet connection and logging in at least 5-15 minutes early to confirm that everything is working properly. This allows us to maintain a smooth, uninterrupted consultation.

Please note the following guidelines for telehealth appointments:

  1. Internet Access: It is the patient’s responsibility to ensure they have access to a stable internet connection for the duration of the appointment. Telehealth sessions conducted without proper internet access (e.g., no Wi-Fi or unstable cellular service) can result in the inability to complete the session, which will be treated as a missed appointment with applicable fees charged.

  2. Alternative Options: If you are unable to secure reliable internet access, you are welcome to:

    • Visit our office for a pre-scheduled in-person appointment.

    • Reschedule your session at least 24 business hours in advance for a time when you can access a secure and stable internet connection.

  3. Appointment Environment: Telehealth appointments should be treated with the same level of seriousness and confidentiality as in-person medical visits. Patients should be in a secure, private location during their session, free from distractions and with appropriate Wi-Fi or cellular service.

  4. Driving and Distractions: Conducting a telehealth session while driving or in any environment with fluctuating cellular service is not appropriate. If this occurs, the appointment may need to be rescheduled and a same day cancellation fee will apply.

  5. Video Visits: You are required to have your video on for the duration of your appointment as this is required for insurance billing. If you are unable to have video connection, you will be charged a the current cash rates.

While we make every effort to ensure our telehealth platform, doxy.me, runs smoothly, we have found that connectivity issues are almost always related to a patient’s internet or cellular service rather than platform malfunctions. In the rare event of a platform-wide outage, we will notify all patients with appointments on that day immediately and use an alternative HIPAA compliant video platform.

If you cannot meet the technological requirements for a telehealth appointment, we encourage you to schedule an in-person visit with one of our providers. Your health and well-being are our top priority, and we want to ensure that every appointment meets the highest standard of care.