CLINIC POLICIES & INFORMATION

We are accepting New Patients! 

 Our office is located at 4211 Gardendale St. Suite A200, San Antonio TX 78229. 

You can call the Clinic at  (210)714-0066. Office hours are Monday through Thursday, 9:30 a.m. to 4:30 p.m. and closed from 11:30 a.m. to 12:30 p.m. for lunch and Friday Office hours are from 9:30 to 12:30 p.m. 

Appointment times are available Monday, Tuesday, Thursday and Friday between the hours of 9:00 a.m. to 5:00 p.m.  Wednesday appointments are available between 9:00 a.m. and 2:00 p.m.

EMERGENCIES: I have coverage for emergencies after hours and on weekends. Please use this for  emergencies only. In the event of an emergency, you may call (210)576-5335 and follow the directions to  contact me. THE PATIENT PORTAL IS NOT FOR EMERGENCIES.  

Insurance Policies and Estimated In-Network Dates:

Currently In-Network

• UBH / United / Anthem
• Blue Cross / Blue Shield
• Magellan / Optum
• United Medicare 
• Cigna
• Aetna
• Aetna Medicare

This list will be periodically updated once Insurance credentialing is completed. 

 Scheduled appointment times are reserved especially for you. If you cannot make it to your  appointment, please let us know in advance so that we can schedule that time for someone else. You  may cancel a scheduled appointment up to 2 business days prior to the scheduled appointment time by  calling the office directly and speaking to a member of my administrative staff with no penalty or charge.  

We will be conducting most sessions in person, however should the pandemic warrant a change in this  we will then do sessions via Telemedicine methods. Initial intakes and paperwork appointments will be conducted in person at the office. Telemedicine sessions may be requested provided you have no  outstanding balance, all clinic paperwork is completed and agree to have your payment method  processed the morning of your session.  

 It is very important to come to your appointment and be on time. I strive to keep the sessions as close to  the appointment time as possible. If a patient is running late, they must contact the office staff as soon  as possible to discuss if they will be able to be worked into the schedule that day, of if they will need to  reschedule on a later date. A patient arriving late may be considered a "No Show". If an appointment is  missed or canceled with less than 2 business days prior notice, you may be billed a $100 No Show Fee. 

 Occasionally I may need to change my schedule, cancel, and reschedule appointments with you. You will  be informed of this as far in advance as possible. In the event of illness, I may unfortunately be forced to  give you little or no notice regarding the absence and the need to reschedule your appointment.  

 All patients are required to have an active Patient Portal. This is one of the methods we will use to  communicate with you. The patient portal is the preferred place to sign the Practice Paperwork. You will need to input a credit card into your Card Manager in your Portal.  If you  do not have access to a PC you can download the documents on my website and return them either by  mail or faxing them to my office. The fax number is (210) 888-1449.  You are also welcome to stop by the clinic during business hours to complete the forms.

THE PATIENT PORTAL IS NOT FOR EMERGENCIES OR REFILLS. 

 All Refills must be initiated by you via a telephone. No other method is authorized. 

Practice  Documents are required to be completed for any prescriptions or refills will be released. 

Prescriptions  are generally written in a quantity to last until the next scheduled appointment. Please fill your  prescriptions promptly. Controlled substance prescriptions are valid for 21 days. If it becomes necessary  for a refill to be called in due to you not keeping a scheduled appointment, a charge of $20.00 may be  assessed. A charge of $20.00 will be applied to prescriptions and triplicate medications that are  written between appointments. A $30.00 charge will be applied if a prescription must be rewritten due  to the loss or expiration of that prescription. 

Requests for prescription refills are to be called into my  office from Monday through Wednesday for approval. A minimum of five working days is typically  required for the prescription refill to be approved. Prescription refills cannot be ordered or approved  after business hours because your chart may not be available. 

Controlled substance prescriptions that  are stolen require an appointment and a police report to be replaced / refilled. Stimulant prescriptions  are not refilled outside of an appointment. 

Prior Authorizations may take up to seven days and a charge  of $25.00 may be assessed for this service. 

 In order to better serve you, FMLA paperwork must be filled out during a scheduled in person  appointment. It is important that you be there for your input on some of the questions, and to be aware  of the treatment plan and contents of this paperwork. If you need a letter for any other reason, I require  a seven-day advance notice.  

Treatment goal or goals will be established after a thorough assessment. It is very important to be completely honest with the answers to the questions asked. You are asked to take an active role in setting and achieving your treatment goals. Your commitment to treatment and cooperation is necessary for you to experience a successful outcome. This may include proper use of prescribed medications. If you have any questions about the nature of your treatment or care, please do not hesitate to ask. 

1. You have the right to receive information about my services and qualifications, clinical guidelines, and patients' rights and responsibilities.

2. You have the right to be treated with respect and recognition of your dignity and need for privacy.

3. You have the right to participate fully  in decision-making regarding your treatment planning.

4. You have the right to voice complaints or appeals about  the care provided to you.

5. You have the responsibility to provide, to the extent possible, information that I need in order to care

for you. This includes all medication, alcohol and drug use. 

6. You have the responsibility to follow the plans and instructions for care that you have agreed upon.

7. You have the responsibility to participate, to the degree possible, in understanding your behavioral health problem(s) and developing mutually agreed upon treatment goals. 

8. Mutual respect is fundamental to treatment. Aggressive or threatening behavior either physical, written or verbal will not be tolerated and will be grounds for terminating your treatment at my clinic.  If you feel mistreated by staff or myself, please let me or the office staff know so I can address your concerns.   

If you would like another physician or other professional to obtain a copy of your record, a release of

information must be signed. The requesting party will be responsible for any fees. When applicable, the charge for records is $25.00 for the first 20 pages and .50 cents for each additional page after the first twenty. All fees must be paid in advance. It may take up to 15 business days to obtain a copy of your medical records once all fees are paid. 

 Payment is expected at the time of your appointment. My contracts and agreements with insurance  companies and health plans require me to collect all co-payments and deductible amounts at the time  of service. If you feel there are extenuating circumstances surrounding the missed or late canceled  appointment you may contact my office. If we are conducting your visits via Tele-Medicine, it is  suggested to put a form of payment on file. This will expedite the payment process and shorten the time  you will need to spend on the phone. You can also make your payment through the Patient Portal. A  receipt will be sent to you if requested.