Appointments will start and end at their scheduled times, regardless of when the patient arrives for the appointment. Frequently, our clinicians have patients scheduled back-to-back and is therefore unable to extend appointment times because it would be unfair to keep other patients waiting.

Should you need to cancel an appointment, please do so at least 48 business hours in advance. Otherwise, you will be charged at the regular rate for the canceled/missed session unless this time slot can be otherwise filled with paid professional activity. Patients, parents, or caretakers will obviously not be charged for my vacations or other absences. Both telephone and email are acceptable ways to alert your clinician of a cancellation.

All outpatient visits must be paid for at the time of the visit. If payment has not been received your credit card will be charged at the time of appointment. Our clinicians do not accept health insurance and is not a member of any managed care provider panels. Therefore, you may wish to check with your carrier prior to scheduling an initial appointment. Our clinicians accept checks, cash, and all major credit cards for all professional services.

Our clinicians are not a part of any insurance panels. As such, we are considered "out of network" providers for most PPO plans. If you have a health benefits policy that provides mental health coverage, you may be entitled to insurance reimbursement for any provided professional services. You can discuss this with your insurance company by contacting them directly. Regardless of insurance reimbursement, full payment for all services is required at the time of each appointment.

Our clinicians are happy to return routine phone calls and e-mails free of charge. However, if returning phone calls and e-mails for a particular patient becomes frequent and time-consuming, your clinician may ask the patient, parents, or caretakers to increase their frequency of appointments in order to address these issues during session times. Lengthy phone calls (e.g., longer than 10 minutes) to gather collateral data, update other individuals about the patient's treatment or for other purposes may be charged for at clinicians discretion.

Treatment records are kept in accordance with legal and professional standards. Mind Health Institute, Newport Beach currently uses a medical record system called Practice Fusion. We will always keep your records private. However, as with all electronic systems, there are factors that are sometimes outside of our control. We will always strive to ensure your information is kept confidential and compliant with HIPPA regulations. As such, we reserve the right to change electronic health record systems, if necessary, based on these principals.

Confidentiality is a cornerstone of appropriate mental health care, and is also protected by the law. Thus, we generally can only release information about our work with written permission. Several exceptions do exist. For example, insurance companies generally require some basic information if you choose to seek reimbursement. Electronic Health Records are also third parties that are subject to similar confidentiality standards. Additionally, there are several instances in which mental health professionals are required by law to report or take action: (a) Making provisions for your safety if there is a threat of imminent harm to yourself, (b) Taking protective actions (including notifying potential victims or police) if there is a threat of serious bodily harm to others, (c) Reporting potential child, elder, or dependent abuse, (d) Legal testimony if subpoenaed/ordered by a court, and (e) Assisting in accessing services if a patient is unable to meet their basic needs (including food, clothing, and/or shelter) due to a mental illness. Please note that these exceptions are rare and it is our goal to always maintain strict confidentiality.

Email is not a confidential means of communication. As such, clinical information should not be sent via this form of communication. This includes any information pertaining to diagnosis, medications, therapy, etc. As a convenience to you, our providers and staff are willing to send basic information and also schedule appointments via email. However, as stated, we are careful about engaging in any clinical discourse via email. This information should be addressed during scheduled appointments, and over the phone if urgent. By providing us your email address on the patient information form, you are agreeing that email is an acceptable form of communication for you despite its limitations with respect to confidentiality.

Often called "talk therapy"; this form of treatment can be helpful to both individuals and families. Benefits can include significant stress reduction, improved relationships, resolution of specific problems, and improved self-insight. However, therapy is not guaranteed to work for everybody and can be a large financial commitment as well as requiring a significant amount of time and energy. Moreover, psychotherapy may also require exploring unpleasant aspects of your life and can, at times, lead to feelings of distress (i.e., guilt, anxiety, frustration, etc.). These unpleasant aspects are generally temporary but are extremely important to discuss when present. Always remember that anything can be discussed in therapy. Thus, it is important to let our clinicians know if you feel that your goals aren't being met. These issues can be addressed in session. Our clinicians are also willing to find a therapist that is a better fit for you, if necessary.

Psychiatric medications can be used in conjunction with psychotherapy to treat many conditions. It is important to find the best combination of medications and therapy for each individual case. Our clinicians can provide an integrated approach as he is trained to administer both psychiatric medications and psychotherapy. However, some providers are also willing to consider merely managing your psychiatric medications and sharing the psychotherapy with another provider, this should be discussed in order to determine if it would be a viable option for you. In situations that warrant the use of medications, it is imperative for you to understand the target symptoms and likely outcomes. Additionally, since all medications have the potential for side effects, our clinicians will always discuss the risks, benefits, side effects, government warnings, and alternative treatments (which always includes not using medications) with you.

Please do not have your pharmacy call or fax for medication refills. Our clinicians are not able to refill medications without evaluating our patients to ensure that we are achieving appropriate therapeutic goals. Should complicated issues arise please call your clinician directly to find a solution. For any routine refills please give your clinician two business days advanced notice. Stimulant medications can never be called or faxed. All requests for stimulants require you to come into the office.