Psychiatric Associates

Office Policies

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STATEMENT OF POLICY:
Psychiatric Associates (PA) is a mental health clinic providing a variety of clinical services. Each Clinician is certified or licensed by the State of Michigan in his/her professional field. Our services are of the highest quality. If you have any questions about your treatment or PA policies and procedures, please contact your Clinician or any of the office staff.
 
CONFIDENTIALITY:
PA maintains client confidentiality at all times. All involvement with PA is confidential. However, ethical and legal standards require that the Clinician report information in cases of suspected child abuse, in cases where an individual demonstrates a clear potential for self-harm or harm to others, and in cases where a Court subpoenas a client's records. In all other cases, communication with other people or agencies will take place only after authorization has been obtained from the client, parent, or legal guardian. 
 
APPOINTMENTS/CANCELLATIONS:
Each session will start at the scheduled time. A 24-hour notice is expected for any appointment cancellation. You will be billed for all missed appointments that are not cancelled. Insurance does not cover this expense. Parents/legal guardians are financially responsible for their children's missed appointments. If one appointment is missed, you'll receive a letter of notification and be charged a fee of $50 or more which must be paid within 30 days of the missed appointment. If two appointments are missed, you'll receive a certified letter stating that two appointments have been missed and that your case will be closed. You'll be provided with up to thirty (30) days of urgent care while securing a new provider. After thirty (30) days you will no longer be considered an active patient at Psychiatric Associates. No further treatment (appointments, phone calls, prescription refills, etc.) will be provided.
 
FEES:
Your basic fee will be established at the time of your initial appointment. You are expected to pay the fee at the time of each session unless other arrangements are made. If you have health insurance which covers all or a portion of the fees, you are expected to provide the insurance card and authorization forms, if necessary, and pay any copay due. You are also responsible for informing our office whenever your insurance information changes. Additional fees may be charged for services such as telephone calls; calling in a prescription; crisis intervention; psychological testing; written statements; reports to attorneys, Courts, schools, or insurance companies; and Court testimony.
 
BILLING STATEMENT:
Billing statements will be send monthly. You are expected to pay this balance each month. If you have any questions about your statement please call our office or the billing office number listed on your statement.
 
AFTER-HOURS POLICY:
In an emergency situation, call 911, proceed to the nearest hospital emergency room, or call Community Mental Health's Emergency Services unit at (517) 346-8460.
 
PATIENT'S RIGHTS:
  • You have the right to have information about you or your family kept confidential unless you have given your written consent or unless otherwise required by law. You must sign a Release of Information if you wish to have your Clinicial talk to or send a report to someone else. 
  • You have the right to review your case record or file in the presence of your Clinician.
  • You have the right to obtain information on the relationship of your Clinician to other healthcare professionals and facilities involved in your case.
  • You have the right to file a formal complaint or grievance if you have a concern about your care or services provided to you. 
  • You have the right to receive a clear explanation of any treatment or services provided or recommended to you, including any medication prescribed and its possible side effects. You have the right to refuse any treatment, services, or medication provided or recommended to you.
  • You have the right to review your Clinician's fee schedule and to request and receive an explanation of your bill.
  • You have the right to be treated with dignity and respect during your treatment. No photographs or videotapes will be made without your written consent. Once your treatment is completed, any photos or videotapes to which you gave your consent will be given to you or othewise disposed of as specified in the Consent Form.
  • You have the right not to be discriminated against on the basis of color, race, sex, age, marital status, sexual orientation, or disability status. 
PATIENT RESPONSIBILITIES:
  • You are expected to keep appointments and to arrive on time. If you are unable to keep the appointment, you are expected to provide notice at least 24 hours in advance. Failure to arrive on time may result in your appointment having to be rescheduled.
  • You are responsible for providing clear and accurate information about yourself and for following your treatment plan. Please let the staff know of any changes in your address or phone number so that your record can be kept current.
  • You are responsible for all charges accrued as a result of your treatment. You are expected to pay for services at the time that they are provided, unless otherwise agreed upon with your Clinician in advance.
  • All or part of your costs may be covered or reimbursable depending upon your health insurance or other applicable benefits. Failure to provide updated, accurate insurance information may result in billing complications, unnecessary delays in reimbursement, or personal responsibility for costs.
  • Other clients and staff also have the right to the same respect, privacy, and confidentiality accorded to you. You are expected to maintain the confidentiality of others while you are receiving treatment.
  • As a provider clinic, we have the right to expect that our clients will conduct themselves in a manner which does not pose a danger to themselves or others. Dangerous or inappropriate behavior or substance abuse may result in a request that you leave the office and/or may result in termination of your treatment. Both staff and clients are expected to use courtesy in their interactions. 
COMPLAINTS:
You have the right to present complaints to the staff of Psychiatric Associates either verbally or in writing. The Chief Executive Officer or Chief Operations Officer will oversee the complaint process. You also have the right to receive a copy of Psychiatric Associates' Office Policy Agreement at the time that you provide a complaint. 
 
HOW TO MAKE A COMPLAINT:
1. First discuss your concern with your Clinician. If you aren't satisfied with the outcome, contact:
 
     The Chief Executive Officer -- Susan Michalowski, NP, BC
     The Chief Operations Officer -- Lisa Whitehead, ACSW
 
2. Psychiatric Associates will receive, investigate, and respond to your complaint in writing, within ten (10) working days. Psychiatric Associates will notify your Clinician of your complaint and discuss any action that should be taken. For complaints, please contact the office at the phone number or address listed below.
 
     PSYCHIATRIC ASSOCIATES
     4084 OKEMOS ROAD
     SUITE A
     OKEMOS, MI 48864
 
     Telephone: (517) 347-4848
 
     Fax:           (517) 347-4844
 


 
To make, cancel, or reschedule an appointment, call (517) 347-4848 Monday through Friday between 9:00 a.m. and 5:00 p.m. 
 


Psychiatric Associates / 4084 Okemos Rd. / Suite A / Okemos, MI 48864
Phone: (517) 347-4848 / Fax: (517) 347-4844