New Patient Appointment Policy

Welcome to Florida Healthcare System. Before scheduling your first appointment, please complete our New Patient Intake Form, including medical history, consent for treatment, and insurance details. You must provide a valid ID and insurance card (if applicable).

Cancellation & No-Show Policy

- Appointments must be canceled at least in advance.

- Late cancellations or missed appointments will incur a fee (unless due to an emergency).

- After missed appointments, future scheduling may be restricted and you will be discharged from the practice.

Rescheduling Policy

Patients may reschedule appointments via phone, text, or online portal. We require at least notice.

Tardiness Policy

If you arrive more than late, we may need to reschedule your appointment. This will be considered a missed appointment if the provider cannot accommodate you.

Walk-in Policy

We do not accept walk-ins. All visits must be scheduled in advance.

Payment Expectations

- All payments are due at the time of service.

- For telehealth visits, payments must be completed before the appointment begins.

Accepted Payment Methods

- Credit/Debit Cards

- Cash

- HSA/FSA Cards

- Online Payments via Portal

Insurance & Billing Policy

- You can review our current list of insurance providers here.

- Patients are responsible for co-pays, deductibles, and non-covered services.

Out-of-Network & Self-Pay Policy

- Out-of-network patients must pay in full at the time of service.

- Self-pay rates are available upon request.

Late Payment & Collections Policy

Unpaid balances exceeding will be subject to collections. A late fee may apply.

Medication Refill Policy

- You must submit a refill request at least before your prescription ends.

- Refill requests require for processing.

- No refills will be provided outside of business hours.

- Patients must attend follow-up appointments as required for refills.

Controlled Substances Policy

- Controlled medications will only be prescribed under close supervision.

- Lost or stolen prescriptions will not be replaced early.

- Patients may be required to sign a Controlled Substance Agreement.

Prior Authorization Process

If your medication requires prior authorization, we will work with your insurance, but approval is not guaranteed.

HIPAA Compliance & Patient Privacy

Your medical records are protected under HIPAA. We do not share your information without written consent, except as required by law.

Release of Medical Records

Requests must be submitted via the Medical Records Release Form. Processing takes , and a fee may apply.

Communication Policy

- Secure messaging via Patient Portal is preferred.

- Email and text communication are limited to appointment reminders.

Scope of Practice

We provide psychiatric evaluations, therapy, and medication management. We do not provide forensic evaluations or disability determinations.

Termination of Treatment Policy

We reserve the right to discontinue treatment if a patient:

- Misses multiple appointments without notice.

- Does not adhere to prescribed treatment plans.

- Engages in abusive or inappropriate behavior toward staff.

Crisis & Emergency Care Policy

For immediate crises, call 911 or go to the nearest ER. We do not provide 24/7 crisis support.

Code of Conduct

All patients must treat staff and other patients with respect. Disruptive behavior, including threats or verbal abuse, will not be tolerated.

Violence & Harassment Policy

Threats, violence, or harassment will result in immediate termination of treatment and possible legal action.

Children in the Office Policy

Children under 12 should not accompany patients unless necessary.

Eligibility for Telehealth

Telehealth appointments are available for follow-up visits and medication management. However, initial evaluations and urgent situations may require in-person visits.

Technology & Location Requirements

- Video & Audio Required – All telehealth appointments must use both video and audio. Audio-only sessions are not permitted.

- No Moving Vehicles – Patients cannot attend appointments while driving or riding in a moving vehicle, even if they are a passenger.

- Private & Quiet Location – Patients must be in a private, quiet room without distractions. Public places (e.g., coffee shops, stores, workplaces) are not allowed.

- Stable Internet Connection – A strong internet connection is required to avoid disruptions during the session.

No-Show & Late Cancellation for Telehealth

- Patients must cancel or reschedule at least in advance to avoid a cancellation fee.

- If a patient logs in from an unapproved location (moving vehicle, public space, or noisy environment), the session may be canceled and subject to the no-show policy.

Informed Consent Policy

All patients must sign a Consent for Treatment Form before starting care.

Mandatory Reporting Policy

We are required by law to report:

- Child or elder abuse

- Suicidal or homicidal threats

New Patient Intake Form

- Personal information

- Medical and psychiatric history

- Insurance details

Consent for Treatment Form

- Agreement to receive psychiatric care

- Understanding of risks and benefits

Financial Agreement Form

- Acknowledgment of payment responsibilities

Medical Records Release Form

- Request for transferring medical records

Controlled Substance Agreement (if applicable)

- Understanding of controlled medication use

HIPAA Notice of Privacy Practices

- Explanation of patient rights under HIPAA

Telehealth Consent Form

- Agreement to virtual sessions and security measures

ROI (Release of Information) Form

- Authorizes the sharing of your medical records with specific individuals or organizations while protecting your privacy.

Credit Card Authorization Form

- Allows us to securely charge your card for copays, deductibles, and fees for no-shows or late cancellations.