Medication Refills. Requests for medication refills are processed during normal business hours; not in the evening, on weekends, or holidays. Please be aware that it may take up to 3 business days to have your prescription refilled. Accelerated or after-hours refill requests may incur an additional administrative fee.
Medication Refills. It is of utmost concern to PPP that we refill your medications in a timely manner. It is our policy to give enough medications and refills until the next upcoming appointment, it is the patient’s responsibility to keep up with appointments to obtain enough medication on time. To minimize eros and for your safety, we discourage medication refills between scheduled appointments. In the event that you must obtain medication refills before our next appointment, we recommend that you call your pharmacy at least 3 business days before you expect to run out of medications and ask the pharmacy to fax us medication refill requests. Our clinician will refill medications enough only to cover until the patient’s next scheduled appointment. We expect to have a standing appointment in the near future before providing medication refills. We do not, as a rule, prescribe stimulants, benzodiazepines, or other controlled medications without evaluating the patient via a scheduled appointment. It is up to the practice and the prescribers discretion as to whether or not a controlled substance will be available for refill without a scheduled appointment. Occasionally, a police report may need to be filed in the event of a controlled medication loss or if diversion/abuse is suspected. Our clinicians may decline to refill any medication if they believe it is clinically necessary to evaluate the patient in person before prescribing the medication. Patient/Guardian Initials: Controlled Substances Prescription Monitoring Program (CSPMP) The CSPMP will be checked routinely as per the AZ prescribing guidelines. Stimulants, sedatives/hypnotics, benzodiazepines are only prescribed if the prescriber decides that they are medically appropriate. If you are already on medication belonging to the above mentioned categories, your current provider will need to provide the medication until your provider at PPP has decided it is medically appropriate for your treatment. The clinician at PPP reserves the right to decline prescription of the above mentioned classes of medications if it is not deemed medically appropriate regardless of if the patient has been on the medication in the past or is currently being prescribed by an alternative facility/clinician. Additionally, the clinician at PPP reserves the right to decline prescription of the above mentioned classes of medications if it appears to be harmful to your physical and/or mental health, regardless of how long you have been on the medication...
Medication Refills. Normally, you will be provided with enough medication to last until your next follow up appointment. If you need a refill, please call your pharmacy to fax over a refill request. Please be attentive to the amount of pills you have left and call for refills at least 3 days before you run out. Refills for controlled substances will not be handled on weekends, after hours or on holidays.
Medication Refills. Please call your pharmacy to request a refill of your medication(s). Prescription refills may take 48 hours to process. Xxxxxxx refill requests will not be honored if the patient has not been evaluated by their physician within the past 12 months. However, urgent refill requests will be honored with the understanding that the patient must be evaluated by their physician before another refill is required.
Medication Refills. We do not want you to run out of your medications. Before you do, we ask that you notify your pharmacist to fax us a “refill request” to 000-000-0000. Please allow 3-4 working days for us to approve your request for ad- ditional medications. FORMS Please make an appointment if you have any forms that will require our doctors to fill out. Most forms require an evaluation and possible laboratory testing to com- plete. These include physical examination forms, sports physicals, and disability forms. There may be additional fees if more time outside of the visit is necessary. MEDICAL CARE We are concerned about your health. In order for us to provide the best possible quality of care for you, we will need your cooperation in keeping your scheduled ap- pointments, making follow up appointments, scheduling annual physical exams, and completing tests ordered for you. Please review the Patient Responsibilities form for details.
Medication Refills. It is your responsibility to inform me if you are in need of a refill on your medication. This is best done during your session and will save you a $25 charge for medication refill requests outside of the appointment. Sliding Scale I do set aside a percentage of my practice for providing psychiatric care for lower income individuals based on sliding scale Out of Network Insurance Carrier Reimbursement Your insurance carrier may reimburse you for payments even though I am considered an "out of network" provider. If you wish to seek reimbursement from your insurance carrier I will provide you with a signed receipt for services which contains what would reasonably be expected to be the information necessary for your insurance carrier to process your reimbursement. Clients are responsible for the disclosure of the information contained on such a receipt and for completing any relevant insurance claim form, submitting such claim, and directly seeking reimbursement from their insurance carrier. CANCELLATION POLICY When you schedule an appointment, you are reserving time. Any missed appointment or cancellation with less than 24 notice may be charged the full cash rate. Exceptions are at discretion of IBC. Please note that insurance plans do not pay for missed appointments. These charges will be entirely your responsibility. Therapy may be discontinued with individuals with a pattern of frequent cancelations.
Medication Refills. Refills are authorized for current patients in active treatment, keeping regular appointments only. I provide prescriptions at appointments. However, should a medication refill become necessary before the next scheduled appointment, please call or email with the following information: your name; date of birth; return call phone number; name of the medication with number of milligrams and daily intake; and name and number of your pharmacy. No prescription/refill will be issued to any patient behind by two session payments until the account is brought current. CONFIDENTIAL COMMUNICATIONS Communication with the psychiatrist or other licensed mental health practitioner is always held in the strictest confidence and will not be revealed to outside agencies or individuals without your written authorization. Except as medically required and ethically permitted, and except for certain situations which are dictated by law (i.e. child abuse, imminent threat of danger to yourself or others, or court order), I will never release or communicate any aspect of your treat without your consent. Information released to insurance companies for reimbursement for service must be sent by you rather than by, or through, my practice.
Medication Refills. I understand that it is my responsibility to request medication refills five business days in advance. If I do not and I run out of medication, I may experience mental and physical medication withdrawal effects. I have had the opportunity to discuss all aspects of this agreement with Adel Mental Health/ Bluebird Behavioral Health. My signature below demonstrates that I have read, understand, and agree to abide by the terms of this agreement for the duration of my care at Adel Mental Health/Bluebird Behavioral Health and consent to these terms. This agreement will remain in effect until one year after the involvement with Adel Mental Health/ Bluebird Behavioral Health ends. My signature below also provides my consent for treatment. Patient Printed Name: Date: Patient/Parent/Guardian Signature: Bluebird Behavioral Health/Adel Mental Health
Medication Refills. It is our shared responsibility to ensure that you do not run out of your medications between appointments. It is safest and most efficient for me to write you new prescriptions when you are at the office in person, so please check on your supply of medication (and refills) prior to our office visits. If you are running low on medication between visits, please contact me at least five days before you run out. This ensures that I will have time to access your file, call in your prescription, and sort out any problems that might arise. As I will sometimes be out of the office when I receive your request for a refill, you can help me fill your prescription completely quickly if you leave all of the following information in your message: Your date of birth Your pharmacy phone # Your phone # The full medication name (e.g., Effexor XR, Ambien CR) The medication strength (e.g., 1mg, 20mg) The exact way you take the medication (e.g., “one-half tablet in the morning and two tablets at night.”) If I do not have all of this information, I will not be able to call in your prescription until I am at the office with your file, which may mean a delay of several days (e.g. if you call on Thursday evening and I am not in the office until Monday morning.)
Medication Refills. Ensuring that you do not run out of medication between appointments is a shared responsibility between us. Whenever possible, it is best that new prescriptions be provided at the session in person. However, if you are running low on medications between visits please contact me at least five days before running out. Medication refill requests should be handled by calling the office front desk staff. When calling the office for prescriptions, please include the following: - Your date of birth - Your pharmacy’s phone number - Your phone number - The full medication name - The dose of the medication - The exact manner in which you take the medication Emergencies As I am a solo private practitioner, I do not have access to 24-hour crisis management services. If you feel that you may need access to such a service, or have utilized similar services in the past, working with an agency, which has comprehensive coverage, may be preferable for you. I do make every effort to be available to my clients whenever there is an urgent situation. If you do need to reach me during a crisis, I recommend the following: - Contact my clinic at 000-000-0000 and inform the front desk staff that you need to reach me urgently - After business hours and on weekends you may reach me via cell phone at 000-000-0000 - If you still have not reached me, please call 911 if the matter involves safety Payment My practice operates on a fee-for-service basis. This means that your fee for each visit will be due at each session. I accept cash, personal checks, as well as most major credit cards. Fees Initial Evaluation: $300 Follow-up, 50 minutes: $200 (therapy-only), $225 (therapy + medication management) Follow-up, 20-30 minutes: $125 Writing of reports, letters: $200/hour Telephone Calls: No fee for brief phone calls. Calls greater than 10 minutes will be billed at the hourly rate Legal Services: Please contact me for fees Insurance I do not participate in any insurance networks. I find that involving insurance companies directly in psychiatric care compromises the quality of the service and the privacy of clients. If you wish, I can provide an invoice at the end of our sessions providing the appropriate CPT and ICD codes. Many of my clients are able to get a significant percentage of visits covered through their insurance. However, any reimbursement you pursue through your insurance company is solely your responsibility.
