Behavior Clinic Information, Policies, and Forms

Patient families participating in this program must abide by the following policies in addition to our general office policies in order to continue their behavioral health care with our office:

• A no show appointment (same day cancellation, 15 minutes late to appointment, or not attending appointment) will result in a fee of $100 AND DISCHARGE FROM THE BEHAVIORAL CLINIC. The parent/guardian is required to notify the office at least 24 hours prior to cancel appointment.*Anyone with Medicaid or Chip insurance will not be charged a No Show fee*
   
• As a courtesy, our behavior appointment coordinator will give you a call to schedule your child’s next appointment. If this call is not answered, it is the parent/guardian’s responsibility to call our office back and schedule the appointment.
• Please contact our office at least 1 week prior to needing a refill(s) for ADHD/ADD medications due to the monitoring and documentation process requirements.
• If a pharmacy is out of stock of a child’s medication, it is the parent/guardian's responsibility to find a pharmacy with the medication in stock and let our office know as soon as possible.
• If your child is prescribed medication, the provider requires the patient to be seen at least every 3 months as well as their well visits up to date. The purpose of these visits is to monitor medication, side effects and vital signs. This requirement is non-negotiable. If the patient is due for a monitoring visit, no medications will be prescribed until the patient has been seen.
• We require an adult (18 years+) to be physically present at the appointment with the patient.
• Telehealth visits require parent/guardian AND PATIENT present during video calls. No exceptions.
• Please be aware that “poor planning on the requestor’s part is not an emergency on our offices’ part.