• Dr. Buffy Binder, ND

  • Naturopathic Physician
    1201 West Main Street
    Hamilton, MT 59840
    office (406) 375-0167 ● fax (866) 225-2126
    www.thehealthyplace.com

     

    Welcome! I am honored that you have chosen me to help you in your search for optimum health. This is your New Patient Information Packet. Please read, fill it out, sign the attached forms, then fax, email, mail or drop off this packet at the office at least 24 hours prior to your appointment. This will allow us to use your appointment time efficiently. We offer a $25 discount at your first appointment if we receive your paperwork at least 24 hours prior.

     Dr. Binder is a Naturopathic Doctor. She received her B.A. in Psychology from the University of Montana. Dr. Binder then completed her Doctorate of Naturopathic Medicine from Southwest College of Naturopathic Medicine in Tempe, Arizona in March, 2000. This school is an accredited four year medical program (4500 hours) including basic sciences and clinical training. Dr. Binder is a licensed Naturopathic Physician in the state of Montana since the spring of 2000. Dr. Binder is continually expanding her education with seminars and workshops several times a year, completing much more than the required continuing education hours. Dr. Binder is a member of the Montana Association of Naturopathic Physicians and the American Association of Naturopathic Physicians. As a second generation naturopath, Dr. Binder brings a unique understanding of natural health to her practice. Dr. Binder was drawn to the practice of naturopathic medicine by a desire to assist people in living more energized lives through better health, and supporting future generations by encouraging healthful global practices. Dr. Binder works with preventative wellness, chronic health situations, and acute non-emergency health situations. Although Dr. Binder is a general practitioner and works with many health issues, she has a particular interest with hormone, neurotransmitter, and endocrine health; as well as working with nutrition, detoxification, herbal medicine, and physical therapies. The practice of Naturopathy includes: western diagnostics, botanical medicine, homeopathy, lifestyle counseling, nutrition, physical medicine, and Chinese Medicine. Dr. Binder may utilize one or a combination of the listed therapies.

    In order to best serve you, please bring any prior lab work and your supplements and medications with you to your appointment. If you wish to cancel or reschedule your appointment, please notify our office 24 hours or more before your appointment. We charge a fee of one-half of the cost of the visit for missed appointments if less than 24 hours notice is given. It is our office policy to confirm appointments by phone one to two business days before your appointment. If you have an answering machine or voice mail, a message will be left. Many of our patients are sensitive to environmental substances, therefore we ask all patients to refrain from wearing strongly scented hair sprays, colognes, perfumes, aftershaves, etc. on the days you are here. If you have any questions please call our office at (406) 375-0167. Please no clinical emails as phone is the best way to communicate with us. We look forward to meeting you!

    Member, Montana Association of Naturopathic Physicians www.mtnd.org 
    American Association of Naturopathic Physicians www.naturopathic.org 
     
    Fee Schedule:

    New Patient Initial (60 minutes) $360
    New Patient Initial (90 minutes) $540
    Return visit intermediate (30 minutes) $180
    Return visit limited (15 minutes) $90
    Return visit brief (5 minutes) $30
    Annual female exam $175
    PAP, basic (thin prep) $42
    Naturopathic spinal manipulation $64

    All clients are asked to pay in full at the time of the visit. Supplements, labs, intravenous therapies, herbs, and homeopathic medicines are an additional fee to the cost of the treatment. I take great care, and am able with my education, to discern quality and potency. I use physician-only lines of supplements that are what they say they are, and that are designed to be very potent and therefore only used by physicians. These companies were created by doctors like me for doctors like me that “know the difference” and they cater to my critical and demanding standards. Further, they often make available substances that only doctors like me know to use, and that the lay market does not know, understand and therefore demand so that they are not found in the lay market. I am able to use quality, potent materials that produce dramatic results for people working to improve their health. This is vital to the success of my patients.

    As a client you are entitled to receive information about the methods of therapy, the treatment modalities used,  and the duration of therapy if known. As a patient you may seek a second opinion from another health care professional, or may terminate or change therapy at any time. I have read the above information and my signature endorses my understanding of these conditions.

    *Very Important Information*
    Please Read Carefully and Sign After Reading

    Dr. Binder and here staff are here to help you take care of your health in the best way that we know how. We realize you came in about health and not finances. The following is to assist you in understanding the clinics financial policies. Payment Requirements: Appointments must be paid for at time of service. We accept Visa, MasterCard, check, cash, or Travelers Checks. Please contact our desk for more details. You will be charged a $25 fee for returned checks. Appointments: We require 24 hours notice if you need to change or cancel your appointment. You will be charged a fee of 50% of the total cost of any missed appointment if the 24 hour advance cancellation policy was not met. Records: We keep a record of your health care. We charge a small fee for copies of your medical records. We will not disclose your record to others unless you direct us to do so or unless the law authorizes us to.

    Insurance and Medicare: This clinic does not bill insurance companies. Dr. Binder is not a preferred provider for any insurance company. You may submit your paid invoice to your insurance for reimbursement. Please request this upon checkout if you wish to do this. Dr. Binder is not a Medicare provider. Medicare will not reimburse you for services rendered at this Clinic and you should not seek reimbursement from Medicare. I understand that I have asked Dr. Binder for medical help and that she will help to the best of her ability.

    I have read and understand the above statements.

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  • NOTICE OF PRIVACY PRACTICES ACKNOWLEDGMENT

  • Dr. Buffy Binder, ND
    Dr. Mark Kelley, ND
    1201 W Main Hamilton, MT 59840

     

    I understand that, under the Health Insurance Portability & Accountability Act of 1996 (HIPPA), I have certain rights to privacy regarding my protected health information. I understand that this information can and will be used to:

    • Conduct, plan and direct my treatment and follow-up among the multiple healthcare providers who may be involved in that treatment directly and indirectly.
    • Obtain payment from third-party payers.
    • Conduct normal healthcare operations such as quality assessments and physician certifications.

    I have received, read and understand your Notice of Privacy Practices containing a more complete description of the uses and disclosures of my health information. I understand that this organization has the right to change its Notice of Privacy Practices from time to time and that I may contact this organization at any time at the address above to obtain a current copy of the Notice of Privacy Practices.

    I understand that I may request in writing that you restrict how my private information is used or disclosed to carry out treatment, payment or health care operations. I also understand that you are not required to agree to my requested restrictions, but if you do agree then you are bound to abide by such restrictions.

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