Privacy & Policy

Practice Policies

At the time of your first appointment, you will be asked to review and sign a copy of our practice policies form. Copies are available upon request. 

- Please arrive early for your appointment as registration, completion of paperwork, etc., is necessary before you are seen by your provider.
- Having an initial appointment does not mean that a treatment realtionship has been established. At the end of your initial appointment, you and your provider will decide if you want to work together and if so a treatment relationship will be established.
- You are not guaranteed to be prescribed the same medication (or dose of medication) previously prescribed by another provider.
- If you do not cancel your appointment with at least 24 hours notice (not counting weekends) or if you do not show up for a scheduled appointment you may be charged a fee. This fee cannot be billed to the insurance company. The patient will be responsible to pay the fee before another appointment can be scheduled. 
- If you cancel your appointment without giving at least 24-hours notice, or no call/no show for your appointment, you may be charged $15 for each prescription refill needed. This fee cannot be billed to the insurance company and the patient is responisble for payment.

Confidentiality & Privacy Policy

The law protects the relationship between a client and a mental health professional, and information cannot be disclosed without written permission. Different rules regarding sharing of information applies to injured workers receiving care under Ohio Bureau of Workers' Compensation; please contact Ohio BWC or the office for details.

Exceptions to Confidentiality include:

  • Suspected child abuse or dependant adult or elder abuse, for which a Provider is required by law to report this to the appropriate authorities immediately.
  • If a client is threatening serious bodily harm to another person/s, the Provider must notify the police and has a duty to try to inform the intended victim.
  • If a client intends to harm her/himself, we attempt every effort to enlist their cooperation in ensuring their safety. If they do not cooperate and there is a risk of harm, further measures without their permission will be taken that are provided/mandated by Ohio law in order to ensure their safety.