Prescriptions and Refills
- At each appointment your provider will give you a 30 day supply of medication with 2 refills (if appropriate), before calling us, please check with the pharmacy first to see if they have any active refills on files.
- Please contact your provider 5 business days before you are out of medication at siannacone@nourishtheheartcounseling.com via email.
- Controlled substances such as benzodiazepines and stimulants cannot have refills per state and national regulations. Please notify your provider 3 business days in advance EVERY MONTH when you need a refill on these medications. Please be aware the pharmacy will not allow you to pick up these refills until you are within a 3 day window of it being due.
- Please email admin@nourishtheheartcounseling.com for any prior authorizations, please do not rely on the pharmacy to notify us.
- Refill requests via voicemail or telephone will not be fulfilled.
- Refill requests will not be honored after a missed appointment until patient is seen again.
Benzodiazapine and Stimulant Policy
- Nourish The Heart Counseling adheres to strict prescribing policies for benzodiazepines and stimulants which include the following:
- Toxicology screens upon initiation and at any time after initiation.
- No early fills.
- No concurrent prescribing of benzodiazepines and stimulants.
- No concurrent prescribing of controlled substances with cannabis use.
- If you are found to be receiving controlled substances from multiple providers you will be discharge
- Nourish The Heart Counseling must be your sole prescriber for all psychiatric medications. If you are receiving psychotropics from multiple providers, you will be discharged.
- If there are extenuating circumstances, Nourish The Heart Counseling MUST be made aware of all other providers and provided with releases of information
Appointment Policies
- 24 hour advance notice is required if you need to reschedule. Otherwise, there will be a $75 late cancellation fee.
- Not attending an appointment, including if you contact Nourish The Heart Counseling AFTER the start time of an appointment, you will owe the full out of pocket fee for the service ($130 for a follow-up, $315 for an evaluation).
- Appeal Process: If a patient believes there are extenuating circumstances regarding fees, they may submit a written appeal to the practice. The appeal will be reviewed, and a response will be provided within a reasonable time frame.
- Exceptions: Exceptions to this policy may be made for emergencies or unforeseen circumstances. Our practice will use discretion and assess situations on a case-by-case basis.
- Nourish The Heart Counseling allows a 10 minute grace period to arrive for appointments. 2 missed appointments or 2 late cancellations will result in discharge from the practice.
- Existing patients can self book through the patient portal if they so choose.
Financial Policies
- All patients must keep a credit or debit card on file in our secure system.
- New patients must put a credit or debit card on file in our secure system for appointment fees.
- Fee for service patient’s cards will be charged the fee at time of appointment and superbill will be provided to the patient through email or patient portal for insurance reimbursement.
- Fee for service rates are $315 for intake and $130 for follow-up
- Insurance fees will be processed through Jane App.
- If you have an unpaid balance greater than 30 days old your follow up may be canceled until the balance is paid.
- Unpaid balances may be sent to collections after Nourish The Heart Counseling attempts to collect for 90 days.
- Communication All patient telehealth visits will take place through Jane App’s electronic health record portal. This is a secure and HIPPA compliant platform.
- All patient communication will be through email or text (which is HIPPA compliant). While we do our best to maintain confidentiality, please do not send confidential or protected information through email, it should be for scheduling or general questions only.
Safety policies
- Threatening speech or behavior will not be tolerated and will lead to immediate discharge from the practice.
Emergency and Crisis Intervention Policy
- In the event a patient presents as a threat to self, others, or is gravely disabled and we are unable to make an adequate plan for safety:
- Emergency contact will be contacted.
- Crisis intervention or emergency services will be contacted to ensure patient safety.
- Nourish The Heart Counseling does not provide after hours or weekend coverage. By signing this form you agree that if you are having a psychiatric or medical emergency you will not contact Nourish The Heart Counseling but rather seek emergent care by calling 911 or 211 for mobile crisis, or going to the nearest emergency department.
- If you require a higher level of care Nourish The Heart Counseling will coordinate with those care providers and receive clearance from them prior to returning to outpatient level of care.
Misc
- There are no after hours or weekend coverage so if you contact Nourish The Heart Counseling during off hours there will be no response until office hours start again. If there is an emergency please call 911 or go to the nearest emergency room.
- There is a $50 fee for each instance of FMLA paperwork being completed.
- Nourish The Heart Counseling DOES NOT complete social security disability paperwork but you can request your records at anytime if you believe it will help you case.
- Nourish The Heart Counseling DOES NOT certify service, therapy, or emotional support animals.