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  • Nevin Arora MD, Diplomate, Am. Board of Psychiatry and Neurology 

    Board-Certified in Sleep Medicine

    Kristen LaMarca, PhD, Clinical Psychologist (#26819)

    Phone: (760) 650-2290

    Fax: (760) 400-3026

    www.luciditysleeppsych.com

  • Office Policies & Consent to Treatment

  • The following has been prepared in order to facilitate our work together.   Please read this document carefully and communicate any concerns so they may be addressed immediately.

    Confidentiality

    The law, professional ethics, and common sense require that information disclosed within sessions is confidential and may not be revealed to anyone without your written permission. There are, however, some exceptions to the rule where disclosure is required by law: where there is a reasonable suspicion of child, dependent or elder, abuse or neglect; where a patient presents a threat to safety or danger to self, to others, to property, or is gravely disabled, or when required by a court of law.  When applicable, insurance Providers, other healthcare providers, and other third-party payers may be given information related to services rendered.  More details are available upon request of our Notice of Privacy Practices. 

    Patient Portal: Registration and Online Scheduling

    All scheduling is completed online using our portal “Patient Ally”, which can be accessed through our website or at www.PatientAlly.com, in lieu of contacting us by phone.  Your cooperation leaves us more available to tend to more important aspects of your care. 

    When registering, you will receive an email from Patient Ally with a link to the portal.  Once you create an account, complete any paperwork under the “Documents tab”.  Call us if you have difficulty using Patient Ally.

    Follow-up appointments will be confirmed within about 1 business day in the portal.  Request to reschedule or cancel appointments through the messaging feature of the portal.  For your convenience, you may receive optional appointment reminders through our automated system via text, email, or phone call.  Note that visits scheduled through Patient Ally are visible in the Patient Ally portal, visits scheduled by phone or in-person are not visible in the portal.  Therefore, you are responsible for marking your appointment times on your personal calendar.   Please use Patient Ally to keep your information up to date, such as by messaging us changes to your home address, phone number, insurance, and emergency contact information as needed. 

    Contact Procedures
    Phone/Patient Portal:  For non-emergency matters, contact us by phone at (760) 650-2290 during business hours or through the online portal.  We typically respond within 1-2 business days during normal business hours. Messages left after 5 pm on Fridays will be returned at the beginning of the next week.  Please use the portal for routine scheduling in lieu of contacting us by phone if possible.  If there is limited unscheduled telephone consultation of an urgent matter between normal sessions, and it is 10 minutes or less, then there will be no charge. However, please bring any concerns related to your treatment to your face-to-face appointments, which are not always ideal to address by phone or portal messaging. If you need to send us documents but are not using the portal, there is an alternative, secure file uploader on our website.

    Telehealth/Virtual Appointments: Instructions for attending virtual appointments are listed on our website under the Telehealth FAQ. Please note the messaging feature of the telehealth application is only for communication with your doctor during your visit or exchanging documents. Scheduling staff do not have access to this feature. If you need to cancel or reschedule, you must contact us through our ordinary phone/portal contact procedures.

    Email/Text/Social Media:  We primarily communicate with patients through our secure patient portal and by phone. We do not use standard email for patient care. Social media contact is discouraged. We may use text messaging for limited administrative purposes such as appointment scheduling and coordination. Text messaging is not a secure or encrypted form of communication and should not be used for clinical concerns or urgent matters. We will never sell your information. Always reserve issues of a clinical nature for your face-to-face sessions with your providers.  

     By providing us your mobile number, you agree to receive messages related to routine scheduling communications. Message frequency varies, and standard message and data rates may apply. You have the right to OPT-OUT receiving messages at any time. To OPT-OUT, reply "STOP" to any text message you receive from us. Reply HELP for assistance.

    Emergency procedures:  In case of an emergency, call 9-1-1 or go to the nearest emergency room. The San Diego County Access and Crisis line is available 24/7 by calling 1(888)724-7240.

    Medication refills: Please request medication refills at a minimum of 5 business days in advance. Dr. Arora may require an in-office visit for medication refills, so please plan accordingly.  

    Payment for Services

    Payments for services are due at the time the service is rendered or a charge is incurred. Charges may include co-insurance costs, balances not covered by insurance, and late cancellation or no-show fees. We accept check, cash, or credit/debit card. Our fees are periodically raised with reasonable advance notice.  Please notify us if any problem arises during the course of our work together regarding your ability to make timely payments.  If you have not remit payment for outstanding balances or set up a fee payment plan within 90 days of charges, your account may be sent, with reasonable notice to you, to a collection agency.

    A holder of this medical debt contract is prohibited by Section 1785.27 of the Civil Code from furnishing any information related to this debt to a consumer credit reporting agency. In addition to any other penalties allowed by law, if a person knowingly violates that section by furnishing information regarding this debt to a consumer credit reporting agency, the debt shall be void and unenforceable.

    All patients are required to keep a credit card on file in case you choose not to arrange for an alternative means of payment at the time a charge is incurred or in case you do not update us with your residential address for invoicing.  Your cooperation with this matter leaves us more available to tend to more important aspects of your care. You may request a detailed statement of charges or payments at any time. 

    Your bank statement may include a charge that states luciditysleeppsych.com.  If you mistakenly initiate an unauthorized chargeback request through your bank or the card processor, you will be charged the fee again, plus any fees acquired for the error, plus an additional $25 administrative fee.  You are responsible for keeping your credit card up to date.  We will inform you immediately if you miss a payment for a service.  You then have 10 business days to re-submit payment for that service. Otherwise a late payment fee of $25 for each unpaid charge will be incurred.  Checks returned for insufficient funds will be billed to you in addition to bank fees incurred, plus an extra $25 fee.  If you use a personal check, please fill it out prior to session rather than during or after your appointment.  Checks may be made out to Lucidity Sleep Psychiatry. 

     

    By initialing below and signing this form, I, the patient (or the patient’s representative), acknowledge that payment is due at the time a service is rendered or a charge is incurred.  I authorize that my credit card on file may be charged if I do not arrange for alternative means of payment prior to incurring a charge. I acknowledge these charges may include fees for missed appointments or late cancellations. 

  • By initialing below and signing this form, I, the patient (or the patient’s representative), acknowledge that if I do not submit payment within 10 business days of receiving an invoice, I will incur an additional $25 fee for late payment.

  • Insurance Reimbursement

    If you are using insurance, you must determine the details of your coverage (e.g. deductible, copay, etc.) prior to your visit.  Patients who carry insurance with which we are not contracted should remember that professional services are rendered and charged to the patient and not to the insurance company. If you choose to use your out-of-network benefits this means that we will be paid in full, by you, at the time of services rendered.  Upon request only, we can supply you with a statement to submit to your insurance company for reimbursement to you, the patient.  The only exception to this means of claiming your out of network benefits is if we have agreed to other arrangements for billing your insurance. Remember, we are not in a position to guarantee payment from your insurance company, and you are responsible for costs not covered.

    Cancellation Policy

    Since the scheduling of an appointment involves the reservation of time held specifically for you, a minimum of 24 business hours notice is required to cancel an appointment (If your appointment is on a Monday, you have until Friday at 6:00pm to cancel). If you fail to cancel in advance of 24 business hours prior to your appointment, we cannot use this time for other patients and you will be billed up to the entire cost of the missed appointment. In the event that a late cancellation is due to circumstances, which we both define as an emergency, a fee may not be charged.  However, if you fail to inform us you will miss your appointment (no-show/no-call) even in the case of an emergency, you will still incur a late cancellation fee unless extreme circumstances prevented you from contacting us to cancel it. 

    If you are unable to make your appointment, please use Patient Ally to cancel online to allow us to accommodate our schedules. You may also call to cancel your appointment during normal business hours or leave a voicemail.

    Records

    We use a secure, encrypted electronic health records (EHR) system, Office Ally, to keep records of our sessions and submit insurance claims. You have the right to receive a summary of your records at any time. If you request the release of your information to other agencies or person(s), you will need to sign a written release of information form (these must be renewed at least once per year). You will be informed at the time of your request whether or not it is believed that releasing that information to that agency or person(s) might be harmful to you in any way. If a third party makes a request for your records and we have your permission to do so, we may offer a summary of your record of treatment, versus detailed consultation notes. Requests for paper copies of records, instead of a summary, will incur a cost of $0.25/page plus any mailing or clerical costs. You may also incur a fee to compensate for any time required to review records prior to their release prorated at the clinician’s full hourly rate rounded up to the nearest 15 minutes. If you request paperwork to be completed for you or a written letter, the cost incurred will be at the clinician’s usual hourly rate rounded up the nearest 15 minutes.

    Length of Treatment

    The length of time of your treatment will vary depending upon a number of factors, and you will evaluate this with your provider on an ongoing basis together.  You have a right to discontinue our work at any time and your only obligation at the point of termination is that of a financial nature for balances not yet paid in full. Also, please note that all patients of Dr. LaMarca are required to be seen at least once every 30 days, unless otherwise agreed upon, in order to remain active under her care.  If you are not seen within 30 days, and you and Dr. LaMarca have not clearly agreed to keep your case open, your case will be closed and you will be provided with referrals, if desired. If your case is closed, you will need to complete the intake process again in order to re-establish your care.

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