Common use of Medication Refills Clause in Contracts

Medication Refills. Once medications have been prescribed your provider will strive to work with you as best as possible to ensure timely refills. It is expected that typically the patient or caregiver needs to give at least 2-3 business days notice that a refill will be needed. This will allow the provider time to review the patient’s chart and determine if a refill can be granted without a clinic visit. Remember that all patients need to be seen at a minimum once every 6 months by their medication provider, with 3 months being a standard interval between visits. It is SPBH policy that a refill typically consists of a full month supply. However, if the SPBH provider is not clinically comfortable with providing a full month refill, they may provide instead only enough medication to last until the next clinic appointment. In the event a patient is leaving SPBH medication services but remaining on the medication (e.g. moving, changing providers) a 2-3 month refill of the medication is typically given, unless deemed not appropriate by the medication provider. Once an appointment is scheduled, you are allowed to cancel for any reason. However, you will be expected to attend unless you provide 24 hours advance notice of cancellation [unless we both agree that you were unable to attend due to circumstances beyond your control]. If you fail to attend a scheduled session or cancel a session with less than 24 hours notice, you may receive a charge that equals full payment for a session. If this is a continuing pattern, your care may be discontinued in this clinic. It is important for you to understand that our practice is busy. As a result, you may not always have the ability to reschedule easily for the same week in which you cancelled or missed an appointment. You may not always be able to secure times for your child for after school appointments. However, this office will do the best that we can to work with you on any scheduling concerns that you may have. This office will provide reminders for appointments via e-mail as a courtesy. However, please understand that it is still your responsibility to attend sessions when they are scheduled, even if you did not receive the reminder. Please do not rely solely on reminder notifications to ensure your attendance at scheduled appointments. Services are provided at the discretion of your treatment provider. Your provider reserves the right to terminate services if either parent behaves inappropriately towards them or the office staff; if your provider is court-ordered to testify (thus causing a dual-role relationship with your child and family unit); if there is consistent failure to attend scheduled appointments; if there is failure to complete payment for services; or if either parent does not consent for services. In cases of severe weather, this office will contact you by phone if the clinic is closing. You are not responsible for a late fee or no show charge if the office is closed or if you are unable to attend your session due to inclement weather. If this office closes, we will make every effort to contact you, so please make sure that we have up-to-date phone numbers for you. Your provider is often not immediately available by telephone. When your provider is unavailable, the telephone is answered by front office staff or a voice mail. Your provider will make every effort to return your call during within 24 hours, with the exception of holidays or vacations. If you are difficult to reach, please inform office staff of times when you will be available. If you are unable to reach your provider and feel that you can’t wait for a returned call, contact your primary care physician or the nearest emergency room and ask for the psychiatrist on call. The laws and standards of our profession require that treatment records are maintained. Legally, you are entitled to receive a copy of your child’s records, or your SPBH provider can prepare a summary for you instead. However, for therapeutic reasons, it is SPBH policy to request an agreement from parents that they agree to give up access to their child’s progress notes. If you agree and you request documentation, you will be provided with only a copy of an intake assessment report, psychological evaluation, and/or general information about your child’s work in therapy, unless your provider feels there is a risk that your child will seriously harm himself/herself, engage in high risk activities, or harm someone else. In this case, your provider will notify parents of this concern. Before giving parents information, your provider will discuss the matter with your child, if possible, and do their best to handle any objections s/he may have with the information that will be shared. In the case of marriage or couples therapy, it is important to understand that the treatment unit includes both individuals involved in therapy. If records are requested, the psychologist will seek the authorization of all members of the treatment unit before releasing confidential information to third parties.

Medication Refills. Once It is of utmost concern to PPP that we refill your medications have been prescribed your provider will strive to work with you as best as possible to ensure in a timely refillsmanner. It is expected that typically the patient or caregiver needs our policy to give at least 2-3 business days notice that a refill will be needed. This will allow enough medications and refills until the provider time to review next upcoming appointment, it is the patient’s chart and determine if a refill can be granted without a clinic visit. Remember that all patients need responsibility to be seen at a minimum once every 6 months by their medication provider, keep up with 3 months being a standard interval between visits. It is SPBH policy that a refill typically consists of a full month supply. However, if the SPBH provider is not clinically comfortable with providing a full month refill, they may provide instead only appointments to obtain enough medication to last until the next clinic appointmenton time. To minimize eros and for your safety, we discourage medication refills between scheduled appointments. In the event that you must obtain medication refills before our next appointment, we recommend that you call your pharmacy at least 3 business days before you expect to run out of medications and ask the pharmacy to fax us medication refill requests. Our clinician will refill medications enough only to cover until the patient’s next scheduled appointment. We expect to have a standing appointment in the near future before providing medication refills. We do not, as a rule, prescribe stimulants, benzodiazepines, or other controlled medications without evaluating the patient via a scheduled appointment. It is leaving SPBH up to the practice and the prescribers discretion as to whether or not a controlled substance will be available for refill without a scheduled appointment. Occasionally, a police report may need to be filed in the event of a controlled medication services but remaining loss or if diversion/abuse is suspected. Our clinicians may decline to refill any medication if they believe it is clinically necessary to evaluate the patient in person before prescribing the medication. Patient/Guardian Initials: The CSPMP will be checked routinely as per the AZ prescribing guidelines. Stimulants, sedatives/hypnotics, benzodiazepines are only prescribed if the prescriber decides that they are medically appropriate. If you are already on medication belonging to the above mentioned categories, your current provider will need to provide the medication until your provider at PPP has decided it is medically appropriate for your treatment. The clinician at PPP reserves the right to decline prescription of the above mentioned classes of medications if it is not deemed medically appropriate regardless of if the patient has been on the medication (e.g. movingin the past or is currently being prescribed by an alternative facility/clinician. Additionally, changing providers) a 2-3 month refill the clinician at PPP reserves the right to decline prescription of the medication is typically givenabove mentioned classes of medications if it appears to be harmful to your physical and/or mental health, unless deemed not appropriate by regardless of how long you have been on the medication provideror if it had been prescribed in the past. Once an appointment There will be times when the prescriber will request a UDS (Urine Drug Screen) when relevant to treatment. Attempts to wean patients off of addictive medications (when appropriate) will be discussed. PPP does not prescribe medical cannabis/marijuana. PPP is schedulednot a methadone clinic and we do not prescribe methadone. In the event that you and the provider at PPP do not agree on decisions regarding the above, you are allowed PPP reserves the right to cancel for any reason. Howeverend the so-called physician patient relationship, and you will then be expected referred to attend unless you provide 24 hours advance notice of cancellation [unless we both agree that you were unable to attend due to circumstances beyond your control]. If you fail to attend a scheduled session or cancel a session with less than 24 hours notice, you may receive a charge that equals full payment for a session. If this is a continuing pattern, your care may be discontinued in this clinicdifferent practice. It is important at the PPP provider’s full discretion to initiate/continue/discontinue/taper any medications in the above mentioned categories. Within the initial assessment, if your provider at PPP assesses that one is seeking a controlled substance which is not appropriate to the care of the patient, the patient will be referred to another clinic or to detox services and will not be taken on as a patient at PPP. PPP reserves the right to discontinue services for you those patients that are determined to be seeking controlled substances that could be detrimental to one's physical and/or mental health or if there is concern that the controlled substance is being diverted and/or sold. Patient/Guardian Initials: As the below signing patient, I hereby consent to receive psychotropic medication as prescribed by my mental health provider. I have been informed of all the potential side-effects, adverse effects, risks, benefits, alternatives, rationale, possible interactions with other medications or supplements, off-label uses, and any FDA black box warning as applicable. I understand that our practice is busyI may experience withdrawal symptoms if I stop taking prescribed medication abruptly. As I understand that, on occasion, some psychotropic medications may be used for psychiatric conditions or symptoms despite a result, you lack of FDA approval for these uses. I understand that some psychotropic medications may not always have the cause drowsiness/fatigue/lethargy and may impact my ability to reschedule easily operate heavy machinery and/or drive vehicles and I have been notified of the risks therein. I understand that some psychotropic medications and controlled substances increase my risk of accidental/incidental overdose when using illicit/illegal/recreational substances and alcohol, and may lead to outcomes including, but not limited to, severe disability and death. I understand that some psychotropic medications and controlled substances when taken in combination with alcohol or other illicit/recreational drugs may lead to severe consequences including, but not limited to, severe disability and death. I understand that I may experience an increase in suicidal ideations and actions with psychotropic medications and I have been notified of the risks therein. I accept this, and have had the opportunity to discuss my concerns and the possible risks, benefits, precautions and side-effects associated with this/these medication(s). ▇▇▇.▇▇▇; ▇▇▇▇▇.▇▇▇; ▇▇▇▇▇.▇▇▇ are websites that can be used for the same week in which you cancelled or missed an appointmentmore information on medications. You may not always be able to secure times for your child for after school appointments. However, this office will do the best that we can to work with you on any scheduling concerns that you may have. This office will provide reminders for appointments via e-mail as a courtesy. However, please I understand that it is still your my responsibility to attend sessions when they are scheduledinform my prescriber of any changes to my pharmacy. It is also my responsibility to keep my prescriber informed of any changes in health, even if you did not receive including pregnancy intentions, becoming pregnant and any new medications prescribed by other providers. I understand the reminderrisks of using psychotropic medications while pregnant or while intending to become pregnant. Please do not rely solely I hereby consent to my psychiatric provider at PPP to coordinate care with other providers with regards to my mental/physical health. If I have further questions or concerns after starting the medication(s), I understand that I should contact the prescribing provider or practice as soon as possible. I understand and accept the advantages and disadvantages of this treatment, based on reminder notifications the information provided, I agree to ensure your attendance at scheduled appointments. Services are comply with the instructions provided at the discretion of your treatment by my provider. Your provider reserves the right to terminate services if either parent behaves inappropriately towards them or the office staff; if your provider is court-ordered to testify (thus causing a dual-role relationship with your child and family unit); if there is consistent failure to attend scheduled appointments; if there is failure to complete payment for services; or if either parent does not consent for services. In cases of severe weather, this office will contact you by phone if the clinic is closing. You are not responsible for a late fee or no show charge if the office is closed or if you are unable to attend your session due to inclement weather. If this office closes, we will make every effort to contact you, so please make sure that we have up-to-date phone numbers for you. Your provider is often not immediately available by telephone. When your provider is unavailable, the telephone is answered by front office staff or a voice mail. Your provider will make every effort to return your call during within 24 hours, with the exception of holidays or vacations. If you are difficult to reach, please inform office staff of times when you will be available. If you are unable to reach your provider and feel that you can’t wait for a returned call, contact your primary care physician or the nearest emergency room and ask for the psychiatrist on call. The laws and standards of our profession require that treatment records are maintained. Legally, you are entitled to receive a copy of your child’s records, or your SPBH provider can prepare a summary for you instead. However, for therapeutic reasons, it is SPBH policy to request an agreement from parents that they agree to give up access to their child’s progress notes. If you agree and you request documentation, you will be provided with only a copy of an intake assessment report, psychological evaluation, and/or general information about your child’s work in therapy, unless your provider feels there is a risk that your child will seriously harm himselfPatient/herself, engage in high risk activities, or harm someone else. In this case, your provider will notify parents of this concern. Before giving parents information, your provider will discuss the matter with your child, if possible, and do their best to handle any objections s/he may have with the information that will be shared. In the case of marriage or couples therapy, it is important to understand that the treatment unit includes both individuals involved in therapy. If records are requested, the psychologist will seek the authorization of all members of the treatment unit before releasing confidential information to third parties.Guardian Initials: