We provide:

 

Professional, committed, quality services without regard to race, religion, gender, ethical background, age, sexual orientation, physical disability, employment status, insurance coverage or any other non-clinical reason. You may request services from someone with training or experiences from a specific cultural, spiritual, or gender orientation.  If these services are not available, we will assist you in the referral process.

 

 

Humane and dignified treatment, with respect for your right to privacy, in an environment free of discrimination, sexual harassment and/or abuse.

  

 

Treatment in accordance with a specialized treatment plan.  You have the right to participate, with your clinician, in the development of your treatment plan and in decisions that will establish your treatment goals.

 

 

Information about all program policies which will affect the course of your treatment.

 

 

Confidentiality of your treatment and your treatment record, except the case of medical emergency or court order, or in specific cases where persons are at risk.  Your treatment information may be released with a signed consent for clinical reasons and your protected health information may be used for treatment, payment, and healthcare operations according to our Notice of Privacy Practices.

  

 

Information regarding all services offered to you and of any potential concerns.  You have the right to refuse any services offered.  If services are refused and imminent danger is a potential concern, mandated reporting laws will require the agency to report the concerns to the appropriate persons.

  

 

Copies of treatment records, within specific limitations, upon a request in writing.

 

 

An interpreter upon request.

  

 

A complaint or grievance process by contacting our Clinical Director.  Your grievance will be dealt with without retribution.

  

 

We require:

 

Complete and accurate information about your current and past illnesses, symptoms, diagnoses and treatment, all medications and hospitalizations to help us in your treatment planning.

 

 

Current information about your address, contact number and insurance information and immediate notification of any changes.  We bill insurance plans as a courtesy; however you are responsible for all services that insurance plans do not reimburse.  If you have a question or concern regarding insurance company payments, you may contact your insurance company directly.

 

 

Participation in your treatment and cooperation with your treatment plan.  Non-compliance with treatment may result in termination of treatment with the agency.

  

 

Attendance to all scheduled treatment appointments at scheduled time.  Medication management is offered in conjunction with therapy appointments.  Therapy appointments must be attended to continue medication management.

  

 

Compliance with all medication orders.  The prescriber will provide you with information regarding any potential side effect and risks of medications prescribed by our facility.  If you have any questions or concerns regarding medication, you must contact the agency.

  

 

Communication regarding your needs.  If there is any component of your treatment that you do not understand, you must contact the agency.

  

 

Compliance with all agency rules and regulations.

  

 

Payments at time of service and compliance with all financial agreements.

 

 

At least 24 hours notice to cancel or reschedule appointments.  Messages can be left during non-business hours on the auto attendant either on your clinician’s voicemail box or extension 391.  In cases of emergency, documentation is required to waive the 24 hours notice policy.

  

 

Feedback on how to improve your care.

  

 

Respect toward staff and other clients at the agency.  Individuals may utilize the waiting areas while a client is in treatment if able to abide by the policies of the agency.  No swearing or loud noise is permitted in the waiting areas.  Children under the age of 18 are not to be left unattended in any area of the agency.

  

 

Parental involvement in the treatment of a child.  If a child under the age of 18 is in treatment at the agency, a parent or guardian must be at the agency during scheduled appointments.  If a child under the age of 18 is attending individual treatment, the parent or guardian may utilize the waiting area during that time.

  

 

Both legal guardians to provide written consent for a minor child to receive treatment if a joint custody agreement is on file within the court system for the minor child.

  

 

An environment free of violence or threatening behavior.  No weapons are permitted at agency locations.  Individuals who enter any agency location must not be under the influence of alcohol or any illegal substance.  If violence or threats occur at any agency location, local law enforcement will be notified.