Still Waters Mental Health Services, LLC Bradley J. Shaw, CRNP, FNP-C, PMHNP-BCPatient Policy Agreement • May 21st, 2020
We bill participating insurance companies as a courtesy to you. Services are provided with the understanding that you (not an insurance company) are ultimately responsible for the cost of the services that you are scheduling. Insurance plans vary and not all services may be covered. You are responsible for knowing what services are covered by your particular plan, please check with your plan by calling the number on the back of your card before your appointment. If you need a prior authorization for services, this must be completed before you are scheduled. If you fail to obtain authorization, any and all charges incurred and not reimbursed, will be your financial responsibility.
Still Waters Mental Health Services, LLC DBA Still Waters Family Health ServicesPatient Policy Agreement • May 11th, 2021
PATIENT POLICY AGREEMENTPatient Policy Agreement • August 3rd, 2019
Professional Fees: Per session would cost $175. I will help clients who wish to utilize insurance benefits. However, insurance authorization does not always result in payment for services. Please be informed that insured clients will be responsible for any sessions not reimbursed by their insurance. All fees, including insurance co-payments, are due at the time services are rendered, unless other arrangements are made with your therapist. Our policy is to retain billing information on file in the event of nonpayment.
Still Waters Mental Health Services, LLC Bradley J. Shaw, CRNP, FNP-C, PMHNP-BCPatient Policy Agreement • November 18th, 2020
If you arrive more than 10 minutes late to an appointment, it will be considered a late cancellation / missed appointment and you may be rescheduled for another time. If you need to cancel an upcoming appointment for any reason, please allow at least 24-hour’s notice, not including weekends and holidays.
Dr. Ingalls’ Patient Policy AgreementPatient Policy Agreement • October 10th, 2023
Call the office for an appointment 480-488-0575. You can text this number also. The office assistant will collect your information and invite you to join a portal which is the best way to communicate with the office and access information in your chart.
