Interactive Health Solutions: Office Policies

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• Intake assessments and enrollment must be completed no less than 48 hours before your scheduled appointment time.
• A valid credit card number must  be on file prior to the visit. 
• A $75 cancellation fee will be charged for a no show if you don’t contact the office at least 24 hours  before your scheduled time. 
• Appointments can be canceled if there is not a valid credit card on file or if enrollment in the Autopay option is not completed
• New patient appointments are scheduled for 60 minutes. 
• Established patient visits are scheduled for 30 minutes. 
• Same day appointments will depend on availability and will be considered on a case-by-case basis. If you are experiencing an emergency or require immediate assistance, please dial 911 or report to your nearest emergency room. 
• If the complexity of the care required is not appropriate for Interactive Health Solutions, clients may be referred to a new provider who is able to offer higher level of  care. If a decision to transfer of care is made at the end of the first  visit, the fees accrued for the visit still apply. 
• A PDMP report may be ordered prior to the first visit as a part of the screening process, and with each refill depending on the medication being prescribed. 
• A 90-day supply of medication is the maximum quantity that can be prescribed at Interactive Health Solutions. Follow up visits are required every three months to process  refill requests and to monitor the progress of the treatment plan. 

• The preferred method of communication takes place inside the practice portal. Portal messages will be answered within three business days. If your concerns become too  complicated for a portal message you may be asked to schedule a  visit. 
• The phone number connects to a confidential monitored voicemail. Please allow up to 24 hours for a response. If you are experiencing an emergency or your concern requires an immediate response, please call 911 or report to your nearest emergency room for assistance.
• Medication adjustments (decreases or discontinuation) can be made remotely, but medication increases or a  change to a new medication require an appointment. 
• If you would like someone at Interactive Health Solutions to speak to anyone other than yourself about a care related concern, a release of information form is required. This rule applies to meetings, phone calls, emails, and document requests.

• Documents cannot be backdated.       
• All documentation requests require an appointment. 
• If you are requesting FMLA to care for someone other than yourself, your loved one’s provider is responsible for completing your FMLA request. 
• Intermittent FMLA requests require an established patient provider relationship for no less than three office visits. 
• Short term FMLA requires attendance in an intensive outpatient program. The selected program will be responsible for completing the necessary paperwork for your absence and your return to work. 
• Long term FMLA requests are not available at Interactive Health Solutions.
• Social Security Disability verification documents will be completed based upon your history and your clinical presentation. 
• Accommodation requests for work and/or school can be provided upon request. Contact the human resources department at your employer and/or student accessibility services at your school for guidance prior to submitting your request. To reduce delays be sure to provide a signed release of information along with your request. 
• A doctor’s excuse from work or school must accompany a visit. 
• The provider reserves the right to refuse any documentation request if deemed necessary. 

 ADHD

Any patient with a diagnosed or suspected ADHD must complete a comprehensive behavioral health assessment.  In addition to the new patient intake, the comprehensive behavioral health assessment may include the following elements:

1. An annual physical exam with a  comprehensive set of labs that includes a CBC +Diff, CMP, HbA1c, Lipid Panel, TSH, Tox screen, and Vitamin D 
2. Polysomnogram + PAP Titration, Home Sleep Study 
3. ADHD Questionnaire 
4. PDMP report 

Autism

Requests for Autism testing will be referred to a specialist. Patients with Autism will receive accommodations as necessary. Medication for symptoms of Autism is at the discretion of the provider. 

These medications include but are not limited to Alprazolam (Xanax), Clonazapam (Klonopin), Diazepam (Valium), Eszopiclone ((Lunesta), Lorazepam (Ativan), Temazepam (Restoril), Suvorexant (Belsomra), Zaleplon (Sonata) Zolpidem (Ambien). 

• The guidelines for these types of medications restrict long term use. Benzodiazepines are not intended for daily use and Hypnotics are not intended to be used for any period longer  than six weeks. 
• If currently taking a benzodiazepine or hypnotic, efforts will be made to adhere to the prescribing guidelines. 
• Any request that involves an increase in dose/frequency/strength will need to be discussed at a visit. Treatment alternatives will be explored to manage symptoms.

• A diagnosis of sleep apnea, narcolepsy, or idiopathic hypersomnia with a diagnosis ADHD must be managed by a sleep psychiatrist. 
• Use of Medical Marijuana will be addressed if symptoms are not well controlled or if it is being used concomitantly with other treatments.
• At the provider’s discretion, a toxicology screening may be ordered at any time.

• A comprehensive new patient intake evaluation is required
• Letters for Gender Affirming Vaginoplasty, Metoidioplasty, or Phalloplasty are not available at Interactive Health Solutions.
• Care will be provided in accordance to WPATH Guidelines. Click the button below  for more information. 

There are several reasons why we may eventually end our professional relationship. You may decide you would prefer to work with a different provider. I may reach the conclusion you would be better served working with someone else.

Regardless of the case, I will first discuss with you the reasons for discharging, and if you request, provide you with a list of other qualified providers. I will also extend the discharge process length if necessary based on your treatment needs, including continuing to provide emergency support for a time-limited period after you have been notified of the end of our treatment relationship.

Please note that ongoing failure to pay for treatment, attend sessions, or communicate with me in a respectful and timely manner can also result in discharge from my practice. In these instances, to ensure you have continued access to care, I will still make every reasonable effort to get in touch with you and provide referrals to a new provider before I consider our relationship ended.

Scheduling an appointment is easy with Interactive Health Solutions. Our friendly and knowledgeable staff is here to help you schedule your next appointment at a time that is convenient for you.