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FMLA, Disability, & Document Policy

Purpose
To ensure accurate, ethical, and timely completion of all administrative paperwork, Unwind Your Mind Psychiatry and Wellness requires that most documentation be completed during a scheduled appointment. This enables the provider to review treatment progress, clarify medical information, and ensure that all documentation meets both clinical and regulatory standards.

Fee Schedule

Type of Documentation Description / Example Fee (if completed outside of an appointment) Standard FMLA / Work Accommodation Forms 1-2 page forms for short-term leave or workplace modifications $75

Extended FMLA / Disability Forms: Multi-page or detailed forms requiring review of records and functional assessment. $200

Letters / Custom Documentation: Return-to-work or school letters, housing accommodations, fitness-for-duty, or treatment verification. $50-$75

Rush Request forms are needed within 48 hours of receipt. +$40

Policy and Process:

  1. Appointments Required for Completion:

    • All FMLA, disability, and related paperwork must be reviewed and completed during a scheduled appointment whenever possible.

    • If paperwork is completed during an appointment, no additional paperwork fees apply beyond the standard appointment charge.

  2. Requests Outside of Appointments:

    • Patients who request that paperwork be completed outside of an appointment may do so at the provider’s discretion and will be subject to the above administrative fees.

    • Payment must be received before any out-of-appointment paperwork is completed.

  3. Eligibility:

    • Patients must be established in care for a minimum of 4–6 months and actively engaged in therapy alongside medication management before eligibility for FMLA or disability documentation.

  4. Turnaround Time:

    • Standard processing for out-of-appointment paperwork is 7–10 business days after payment and receipt of all required information. Rush requests (within 48 hours) will include an additional $40 fee.

  5. Provider Discretion:

    • Completion of any form or letter is at the provider’s discretion and based on clinical appropriateness and documentation of treatment progress.

  • Delivery:

    • Completed forms may be uploaded to the patient portal, faxed, or provided via secure email upon request.

Acknowledgement of Policy

I have reviewed and understand the Unwind Your Mind Psychiatry and Wellness Form and Documentation Policy.


I agree to the listed requirements and fees for paperwork completed outside of an appointment.

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1501 S. Ranchwood Blvd, Suite 203, Yukon, OK 73099

Tel: 405-914-6634

Fax: 405-914-6693

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