Terms and Conditions

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                                                           Office Policies and Procedures             

CONFIDENTIALITY.  Communications are confidential and generally no information will be released without your consent. 

Exceptions: By law, I am required to report suspected child or elder abuse,domestic violence and take action when a patient is considered to be a danger to themselves or to others. 

INSURANCE.  Dr. Renee Denobrega, DNP, CRNP is a provider of some insurance companies and provides “out-of-network”, fee-for-service care.  Dr. Renee Denobrega, DNP, CRNP does not contract or negotiate claims with insurance companies, Medicaid or Medicare or other persons. You are responsible for payment of your medical care at the time of the appointment-- if you are told that your insurance does NOT cover the service.  Dr. Renee Virtual Psych Office Currently is in the process of joining major insurance networks. Patients with out-of-network coverage may be eligible for partial or full reimbursement from their insurance companies. With some exception of certain beneficiaries, you may request a superbill for submission to your insurance company for direct reimbursement if you have out-of-network benefits.  

PAYMENTS. Payment is always due at the time of service.  We accept multiple forms of payment(Online Payments, All major credit cards, and Checks) are acceptable. Your credit card on file will automatically be charged at the time of your visit if you do not pay by other methods or by check or another valid credit card.  You are personally accountable to pay for any charges that are not covered by or collected from any insurance program, including any deductibles and coinsurance amounts.  Prices Varies determined case by case.CREDIT CARD ON FILE.  A valid credit card on file must be maintained. RETURNED CHECKS.  Your credit card on file will be charged for your returned check plus a $35fee. 

OUTSTANDING BALANCES.   We prefer to spend time on clinical matters and caring for patients.Please understand that nonpayment for services rendered or missed appointments is cause for termination of care. Your credit card on file will be automatically charged for outstanding balances not paid at the time of service. Accounts with balances more than 30 days past due will be charged late fees. Accounts With balances more than 2 months past due may be turned over to a collection agency and reported to credit bureaus. APPOINTMENTS. All visits are by appointment only. "Urgent/ Last minute &quote; and Weekend Appointments taken within 48 hours of a scheduled appointment will be charged an additional $35. Emergency Please be on time for your appointment as your appointment time is reserved for you. If you are late we still end at the scheduled time. 

AUTOMATED FOLLOW-UP APPOINTMENT REMINDERS.  If you sign up for automated appointment reminders, please note that they are offered as a courtesy only.  As technical failures can occur, it is still your responsibility to keep track of your scheduled appointments, whether you receive a reminder.  In addition, please note that such communications may be insecure. Do not reply to the automated messages as it will not be received.  

2 MISSED/RESCHEDULED/CANCELLED APPOINTMENTS WITH INSUFFICIENT ADVANCE NOTICE.  While we understand that schedules can change, because our visits are by appointment only,when someone misses an appointment, it creates a missed opportunity for another patient to be seen.Advanced cancellation notice of more than 48 business hours (Mon-Fri)  including weekends or holidays for all visits is required. Your credit card on file MAY be automatically be charged for any missed/rescheduled/cancelled appointments with less than 48 business hours’ notice at the full session fee. This means that an appointment starting at 11:00am on Tuesday needs to be cancelled before 11:00 am on the Thursday or Friday before in order to avoid being charged.  

PRESCRIPTIONS REFILL REQUESTS.   In order to continue to prescribe a medication, Dr. Renee Denobrega, DNP, CRNP needs to see you regularly to review progress, side effects, and potentially make adjustments. Please bear in mind that this is for your safety. Prescriptions and refills take place during regularly scheduled appointments and are meant to last until your next visit.  Please anticipate any medication refill needs prior to your appointment and address them with Dr. Renee Denobrega, DNP,CRNP during the time of your visit.  If you are running low on your current medication(s), it is likely that you are near or past due for a follow-up appointment so please contact the office immediately to schedule an appointment.   Calling in a refill is considered a courtesy needed when appointments are changed unexpectedly on rare occasions. Requests for refills may take up to 72 business hours and are not done on weekends or holidays unless it’s an emergency. Patients not seen for over 3 months or have missed 2 consecutive appointments will need to be seen for a re-evaluation before medications can be refilled. 

DISCONTINUATION OF TREATMENT.  Treatment may be discontinued for:  Failure to pay for services rendered. Non-compliance with recommended treatment. Argumentative, Disrespect, and Hostility with providers/Staff. Frequent cancellations and/or missed appointments. Need for a higher level of care (e.g. engaging in self-harm, intent to harm self or others,being unable to care for oneself due to mental illness, excessive substance use/dependence, etc refusing to provide a UDS, labs, and to seek sobriety care e.g., drug and alcohol rehab/detox.)