Scheduling

We require a credit/debit card on file in order to schedule an appointment.

 Late Cancellation/No-Show Fee

Please provide us with at least a 24-hour notice if you need to cancel or reschedule your appointment. No-show/late cancellations will result in a $50 fee. Please note that this fee is not paid by insurance companies and will be charged to the card on file. Three or more missed/late cancellation appointments may result in dismissal from our office.

 Forms

Our office charges a $50-$100 fee to complete short-term disability and FMLA forms. Clients must keep their appointments and be adherent with on-going treatment in order for staff to complete short-term disability or FMLA forms. Please note that paperwork can take up to 7 days for completion, however we will try our best to return paperwork sooner. Our office does not assist with long-term disability applications however, clients are able to request a copy of their medical records to assist with their long-term disability application.

 Controlled Substances

For your protection and safety, New Vision Psychiatry follows federal and state prescribing guidelines for safely prescribing controlled medications.  

-Controlled medications are prescribed sparingly and are generally not prescribed at the client’s initial visit.

-Your previous medical records must be received and reviewed prior to being prescribed a controlled medication.

-A controlled medication agreement must be agreed upon and signed by the client before being prescribed a controlled substance. The agreement allows for random urine drug screening and is an agreement that controlled medications will not be self-adjusted by the client, will not be filled early, and will not be replaced if lost or stolen,

 Dismissal

We reserve the right to dismiss any client from our practice at the providers discretion. Please keep in mind that dismissal from our practice is reserved as a last resort.

Privacy

HOW WE MAY USE OR DISCLOSE YOUR PROTECTED HEALTH INFORMATION 

Treatment: We may use and disclose your protected health information to provide you treatment.  
Payment: Your protected health information may also be used to obtain payment from an insurance company or another third part.
Health Care Operations: We may use or disclose your protected health information in order to operate this medical practice.
If we have to share your protected health information to third party “business associates” such as a billing service, we will have a written contract that contains terms that will protect the privacy of your protected health information. 
We may also use and disclose your protected health information for marketing activities,
appointment reminders, public health risks, health oversight activities, and in the event of a lawsuit, safety concern, or when required by the federal, state, and/or local law.
We may disclose protected health information about you to your family members or friends if we obtain your written agreement to do so.

Security

We have administrative safeguards and technical safeguards in place via our Practice Management EMR/EHR platform, OptiMantra to protect digital information, including but not limited to encryption/decryption, SSL and the secure storage of data. OptiMantra also utilizes a data center for their application and data that complies with NIST 800-53 security standard.

Refunds

Refunds are only permitted should there be a discrepancy in the quote we received from your insurance company when verifying your insurance benefits. Refunds will be provided as a credit to the card used for payment within thirty (30) days of the claim being processed by your insurance company.