Our Policies and Procedures
For Initial Clients
We might provide you with one to two initial visit to ensure accurate assessment and evaluation. The first appointment might range from 60 to 90 minutes, and the subsequent visits will range from 30-60 minutes. On your visit, the provider will evaluate, educate and properly determine the appropriate diagnosis and treatment. Your provider will work with you to determine the frequency of the appointments depending on the type of treatment that is needed in other to assess for symptoms relieve and side effects until you stabilize on the medication. If your care is continued at MoVin, the provider will work with you to establish a steady period of time for your subsequent visits and see you approximately every three months to ensure safety and effectiveness of your medications. We will require a credit/debit card on file during the intake assessment to process copays and deductible.
Care Delivery Schedule and Times
Treatments at MoVin will be conducted through Telehealth and/or in-person office visits for the client’s comfort and convenience, so please be aware that your provider may not be able to respond to you until these set times that the provider is in office, before, between and after patient appointments. For after-hours, weekends, or if you need help immediately you should contact the crisis clinic at 1.866.4CRISIS (1.866.437.4747)
For Telehealth Patients:
Telehealth makes services accessible, but it reduces the ability of your provider to assess basic vital signs such as blood pressure, heart rate, height, weight and O2 saturation. We highly recommend for anyone who prefers telehealth to check their vital signs approximately 15 minutes before the time of the scheduled visit to better serve you. These are basic indicators of health that may be impacted by your treatment, so it is essential to be able to assess these measurements regularly.
Health monitoring and Collaboration of Care:
At MoVin Behavioral Health, we request that you provide a release of information (ROI) for the provider to discuss issues relevant to your health and treatment with your primary care provider, psychotherapist or counselor, and all your other relevant healthcare providers. We also request that you provide us copies of any relevant lab-work results and investigative studies (electrocardiograms, CT scans, MRIs, sleep studies, etc.) ordered by other health care providers during the course visit. This collaboration in care will allow your provider to provide care in the safest and most efficient way.
For Emergency Situations:
If you have emergency situations such as having suicidal thoughts with plan or intent to take your life, homicidal ideations with plan or intent to take another person's life, having auditory hallucinations to do things such as to kill yourself and/or others please call 9-1-1 or go to the nearest emergency room. Other emergencies might include severe adverse reactions from your medications such as swelling of the tongue or throat that might prevent you from breathing freely, involuntary movements, jerking of extremities, and severe muscle rigidity.
If you have side effects that you can tolerate and is not severe, please leave your provider a detailed message through the email or phone and the provider will reach out to you in a timely manner, again, if is something emergent, please call 9-1-1 or go to the nearest emergency room.
If you have a need for consultation outside of an appointment (medication side effects, increase in symptoms, etc.), please direct your questions to us via the email or phone number listed.
Email: support@movinbehavioralhealth.com
Phone: 360-821-4302
FMLA, disability, and other paperwork requests: We understand that sometimes life circumstances change our work life therefore, we can provide support in securing the help you need while you get better to get back to work. At this practice, we do not provide such services for a new client at first visit. For us to provide you with such services, we must have established some type of therapeutic relationship and you will have the time to discuss your disability with the provider. For individuals requesting this type of assistance, we require that you meet with your provider at MoVin to discuss the specific functional impairments. Please allow 5 business days for the completion of this documentation.
Cancellation Policy
In order to provide you with appropriate care, we reserve the appointment time for you alone. We request that you cancel 24 hours before the time of your appointment. Please call us or email to cancel your appointments. We respect our client's time at the same time, we ask that our clients consider that this practice value time very much. If we notice a pattern of frequent cancellation with or without 24 hours’ notice, we may not be able to continue services with you and we will bill you for cancelling multiple appointments. We understand that there are unforeseen circumstances in life, but we ask that you also put the time of other patients in consideration and the company's as well. We will do our best to work with you or work around your life situations because, our end goal is to provide you with the proper care you need. Please call for all scheduling needs at 360-821-4302.
Telehealth Services
For Telehealth sessions, we will be connecting using a system that is encrypted to the federal standard and HIPAA compatible. It is the provider's responsibility to choose a secure location to interact with technology-assisted media and to be aware that family, friends, employers, co-workers, strangers, and hackers could either overhear our communications or have access to the technology that you are interacting with. Additionally, your provider agrees not to record any Telehealth sessions. During a Telehealth session, you and the provider could encounter a technological failure. The most reliable backup plan is to contact one another via telephone. Your provider will ensure that there is a phone available and that the phone number has been provided to you the client.
Controlled Substances
Current legislation (Ryan Haight Online Pharmacy Consumer Protection Act of 2008) prohibits me from prescribing controlled-substances to patients through Telehealth. Several of these are used commonly in psychiatric care for ADHD, certain types of anxiety disorders, insomnia and to treat side-effects to other therapeutic agents used in this area of healthcare. For this reason, I do not treat or carry out ADHD testing via Telehealth. If you are looking for standard and first-line treatment for ADHD I recommend in person office visits only. Having said this, there are non-stimulant/non-controlled treatments for ADHD which I do provide, as appropriate, for individuals with ADHD and that can be done via Telehealth.
The following is a link to controlled substances that the provider at MoVin do not prescribe via Telehealth: Controlled Substance Schedules (usdoj.gov)
Examples include hydromorphone (Dilaudid®), methadone (Dolophine®), meperidine (Demerol®), oxycodone (OxyContin®, Percocet®), and fentanyl (Sublimaze®, Duragesic®), morphine, opium, codeine, hydrocodone, amphetamine (Dexedrine®, Adderall®), methamphetamine (Desoxyn®), methylphenidate (Ritalin®), amobarbital, glutethimide, pentobarbital, (Tylenol with Codeine®), buprenorphine (Suboxone®), benzphetamine (Didrex®), phendimetrazine, ketamine, anabolic steroids such as Depo®-Testosterone, alprazolam (Xanax®), carisoprodol (Soma®), clonazepam (Klonopin®), clorazepate (Tranxene®), diazepam (Valium®), lorazepam (Ativan®), midazolam (Versed®), temazepam (Restoril®), and triazolam (Halcion®), (Robitussin AC®, Phenergan with Codeine®), and ezogabine.
Financial Responsibility and Insurance Billing Practices
Payments are collected after insurance is billed for any remaining balances such as deductibles and coinsurances. We will require a credit card on file on your initial visit if you have a copay, deductible or you are a self-pay client, this is to ensure appropriate and on time payment. The card on file will be charged once the explanation of payment is posted by your insurance and you have a deductible or coinsurance. To ensure uninterrupted services from this practice, every outstanding payment such as copays are required to be completed at the end of each session and the deductible will be charged after insurance billing is completed. Please provide full insurance information and your insurance card upon your initial office visit with your provider at MoVin Behavioral Health to determine the eligibility of benefits and obtain authorization from your insurance provider, when necessary, prior to your first visit. If you have a change in insurance, please let us know as soon as possible, so we can ensure payment. We reserve the right to bill our standard fees for case coordination, clinical and legal write-ups, and phone consultations (school personnel, primary health provider) exceeding 15 minutes per week. There is no charge for routine telephone calls to MoVin Behavioral Health administrative staff regarding scheduling, appointments, or billing.
Confidentiality:
The information discussed during the course of therapy and treatment is confidential. By law, information concerning your treatment may be released only with the consent of the person treated (or the person's guardian if applicable). In the event where there is suspected child abuse, neglect, exploitation (RCW 26.44), or imminent danger of harm to one's self or others, the law requires the release of confidential information. In these instances, we are required to make a report to the appropriate authorities. In addition, the courts may subpoena treatment records in certain circumstances. Any type of release of confidential information will be discussed with you. We are compliant with the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and patient rights with regard to personal health care information (PHI). HIPAA requires that we provide you with a Notice of Privacy Practices. This Notice, which is attached to this agreement, explains HIPAA in detail and its application to your personal health care information.
Notice of Privacy Practices:
Your Information - Your Rights - Provider Responsibilities. Please review carefully.
Under Washington Administrative Code (WAC) 388-877-0600, you have the right to:
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Receive services without regard to race, creed, national origin, religion, gender, sexual orientation, age to disability.
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Practice the religion of choice as long as the practice does not infringe on the rights and treatment of others or the treatment service. Individual participants have the right to refuse participation in any religious practice.
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Be reasonably accommodated in case of sensory or physical disability, limited ability to communicate, limited English proficiency, and cultural differences.
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Be treated with respect, dignity, and privacy, except that staff, may conduct reasonable searches to detect and prevent possession or use of contraband on the premises.
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Be free of any sexual harassment.
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Be free of exploitation, including physical and financial exploitation.
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Have all clinical and personal information treated in accordance with state and federal confidentiality regulations.
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Review your clinical record in the presence of the administrator or designee and be given an opportunity to request amendments or corrections.
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Receive a copy of agency grievance system procedures upon request and file a grievance with the agency, or behavioral health organization (BHO), if applicable, if you believe your rights have been violated.
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Lodge a complaint with the Washington State Department of Health when you feel the agency has violated a WAC requirement regulating behavior health agencies.
Washington State - Department of Health
Health Systems Quality Assurance (HSQA)-Complaint Intake P.O. box 47857
Olympia, WA 98504-7857 email: HSQAcomplaintintake@doh.wa.gov
Responsibilities as your Clinician: Your Provider's Responsibilities:
Your provider at this practice is required by law to maintain the privacy and security of your protected health information.
Your provider will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
Your provider must follow the duties and privacy practices described in this notice and give you a copy.
Your provider will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let our office know in writing if you change your mind. For more information see:
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Responding to Lawsuits and Legal Actions:
Your provider can share health information about you in response to a court or administrative order, or in response to a subpoena.
If your information will be shared, your provider will provide a Release of Information to request specific information and with whom for you to sign consent.