Terms and Conditions

Missed Appointments & Cancellations

• A $25 No-Call/No-Show Fee will be charged for missed appointments without prior notice.
   
• Cancellations must be made at least 24 hours in advance via the patient portal or by phone.
   
• Text messages are not accepted for cancellations
   

Communication Policy

• Personal text messages are not permitted for any reason, including appointment changes or medical inquiries.
   
• Medication refill requests must be submitted by telephone only.
   
• Please allow up to 72 hours for prescription requests to be processed.
   

Office Conduct

• Rude, disruptive, or inappropriate behavior toward staff will not be tolerated and may result in termination of care.

2.5% processing fee on Credit Card Transactions

tHIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.

If you have any questions about this Notice, please contact the Facility Privacy Office listed at the end of this Notice.

We are required by law to maintain the privacy of your health information and to give you our Notice of Privacy Practices (this "Notice") that describes our privacy practices, legal duties and your rights concerning your health information.

We follow the confidentiality protections of 42 C.F.R. Part 2 ("Part 2") for substance use disorder records subject to Part 2 ("Part 2 Records") and, if the Facility operates a Part 2 Program, the Part 2 Program also follows the privacy practices described in Appendix A, PART 2 PROGRAM ADDENDUM ("Addendum"). Please note, the Addendum only applies if you are receiving services from a Part 2 Program, as defined in the Addendum.

Our Pledge Regarding Medical Information: We understand that your medical information is personal. We are committed to protecting your medical information. Your personal doctor may have different policies or notices regarding the doctor's use and disclosure of your medical information in the doctor's office or clinic.

This Notice will tell about the ways in which the Facility may use your medical information and disclose your medical information to others outside the Facility. The law requires the Facility to:

• Make sure that medical information that identifies you is kept private;
• Inform you of our legal duties and privacy practices with respect to your medical information;
• Follow the terms of the Notice that is currently in effect; and 
• Notify you following a breach of your unsecure medical information.

Who Will Follow This Notice: The Facility and all of its sites and locations will follow the terms of this Notice, including:

• All employees, contractors, volunteers, and other agents ("authorized personnel") of the Facility.
• Health care professionals authorized to enter information into your medical records at the Facility.
• Members of the Facility's medical staff and their authorized personnel.
• Health care providers who share an electronic medical record with the Facility may also use this Notice (although they may have their own, which they will follow).

How the Facility May Use and Disclose Your Medical Information: We may use your medical information or share it with others for the following purposes:

• Treatment. Your medical information may be used to provide you with medical treatment or services. This medical information may be disclosed to doctors, interns, nurses, technicians, volunteers, students, and others involved in your care at the Facility. We may also share your medical information with health care providers and their staff outside the Facility. We may also use your medical information to contact you to provide appointment reminders or to give you information about treatment options or other health-related benefits and services that may interest you.
  
  For example: A doctor treating you for a broken leg may need to know if you have diabetes because diabetes may slow the healing process. The doctor may need to tell the dietitian about the diabetes so appropriate meals can be arranged. Different departments of the Facility may also share medical information about you in order to coordinate your different needs, such as prescriptions, lab work and x-rays. The Facility also may disclose medical information about you to people outside the Facility who may be involved in your medical care after you leave the Facility, such as family members, home health agencies, and others who provide services that are part of your care.
• Payment. Your medical information may be used and disclosed so that the treatment and services received at the Facility may be billed and payment may be collected from you, your insurance company and/or a third party. Please note, we will comply with your request not to disclose your health information to your insurance company if the information relates solely to a healthcare item or service for which you have paid out of pocket and in full to us.