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    • Home
    • Welcome
      • Welcome
    • About Us
      • About Us
      • Our Team
      • Statement of Faith
    • Our Services
      • Our Services
      • Insurance
      • Telepsychiatry
      • Patient Portal
    • Resources
      • Resources
      • Discovery Center
    • Policies & Forms
      • Policies & Forms
    • Contact Us
  • Home
  • Welcome
    • Welcome
  • About Us
    • About Us
    • Our Team
    • Statement of Faith
  • Our Services
    • Our Services
    • Insurance
    • Telepsychiatry
    • Patient Portal
  • Resources
    • Resources
    • Discovery Center
  • Policies & Forms
    • Policies & Forms
  • Contact Us

Policies and forms

PATIENT POLICIES AND FORMS

All patient forms are contained within the patient medical record system and are sent when registering as a patient. These include the following forms: HIPAA (Privacy Policy), Consent to Treat (including Consent for Telemedicine), Release of Information, and Consent for Controlled Substances, including Suboxone and buprenorphine. Below are the details of what each form provides.

HIPAA Privacy

Agreement of privacy and security about patient records, what the patient legally authorizes a business to do on their behalf, and privacy related to use of texting. This is what is included in the HIPAA consent form. SEE Contact Us FOR SPECIFIC TEXT MESSAGING PRIVACY POLICY CONTENTS.

CONSENT TO TREAT

Provides clear direction on what treatment will includes and the duration of said treatment plan.

RELEASE OF INFORMATION

Release of medical information form allows for release of records to whomever you choose. Must be completed for every entity you wish to send your records to at any time. 

consent for controlled substances

Provides guidance on prescribing controlled substances and ongoing expectations and monitoring of these prescriptions. This includes Suboxone and buprenorphine.

REQUEST FOR COMPLETION OF PATIENT DOCUMENTS (FMLA, DISABILITY)

Patients requesting completion of documentation related to the excuse of work, school, or other social-related activities are handled on a case by case basis.  These forms are supplied by the patient and not the office.

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