POLICIES
HIPPA Notice of Privacy Practices
Your health information is protected under HIPPA. We may use or share your information for treatment, payment, or healthcare operations. You have the right to access your records and request corrections.
" Your mind matters. Your privacy matters."
Non-Discrimination Notice (ACA Section 1557)
We do not discriminate based on race, color, national origin, age, disability, religion, sex, gender identity, or sexual orientation. Language assistance services are available free of charge.
"Everyone deserves access to care."
Grievance / Compliant Process
You have the right to file a grievance or complaint. Please contact clinic leadership directly or submit a written complaint.
"Your voice matters."
No Surprise Billing Notice
You have the right to a Good Faith Estimate for your healthcare costs. You can dispute bills that are $400+ above your estimate.
"Transparency in care matters."
Emergency Instructions
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Call 911 for medical or psychiatric emergencies.
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Call or text 988 for mental health crises.
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Proceed to the nearest emergency room when needed.
"Help is always available."
ADA Accessibility Notice
We provide reasonable accommodations for individuals with disabilities.
Please let us know how we can assist you.
Interpreter/Language Assistance Notice
Language assistance services are available free of charge.
Please ask our staff if you need support.
Payment Policy
All payments are due prior to services.
This includes co-pays, deductibles, and balances.
We accept cash, credit/debit cards, and HSA cards.
Missed Appointment
&
Cancellation Policy
Appointments canceled with less than 48-hour notice or no-shows will be charged a $75 fee.
Telehealth Consent Notice
By using telehealth services, you acknowledge understanding of potential privacy risks and technology limitations.
Medication Refill Policy
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Refills require up to 48 business hours.
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Controlled substance refills may require a visit or drug screen.
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Early refills on controlled medications are not permitted.
Clinic Behavior Expectations
We maintain a safe, respectful environment.
Disruptive, threatening, or abusive behavior is not tolerated.
Weapon-Free Policy
Weapons of any kind are not permitted on clinic premises, regardless of licensure.
Clinic Surveillance
&
Monitoring Notice
Video surveillance is used in public and clinical areas for patient and staff safety.
No surveillance occurs in bathrooms or private changing areas.
Spravato & Brain Health Monitoring Room Notice
Certain treatment rooms are continuously monitored for safety, medical oversight, and compliance during Spravato administration and Brain Health Monitoring sessions.
