Consent

Our Clinic Is Not A Crisis Center And Does Not Manage Acute Crisis

• If experiencing a life-threatening EMERGENCY, please dial 9-1-1

• Central Arizona Crisis Line: (602) 222-9444 or (800) 631-1314

• National Suicide Prevention Lifeline: (800) 273-8255 (TALK)

• Teen Lifeline (www.teenlifeline.org): (602) 248-8336 (TEEN)

  • We DO NOT provide primary substance abuse treatment.

  • For medication management, we DO NOT accept patients who are LESS THAN 30-days removed from substance abuse rehab (6-months for very addictive drugs).

  • For medication management service, we DO NOT accept patients who are actively receiving Medication-Assisted Treatment (MAT) for substance abuse.

  • We DO NOT have a contract with Workers Comp agencies, hence patient will be financially responsible for all cost.

  • We DO NOT have a contract with MEDICARE, hence patient will be financially responsible for all cost.

  • We DO NOT have a contract with AHCCCS, hence patient will be financially responsible for all cost.

  • For medication management services, we DO NOT accept AHCCCS patients.

  • For therapy services, AHCCCS patients are seen if (1) self-pay, or (2) has active single-case agreement.

  • Prior to completing any disability paperwork, patient must be seen AT LEAST three (3) times by the SAME provider.

  • Our providers DO NOT participate in court cases, custody cases, nor workman comp cases. If provider must be subpoenaed, then patient is financially responsible for ALL legal-specific cost incurred.

  • We impose an automatic $150 fee for No Shows/Late Cancellations. (This fee is subject to change without notice.)

  • Fees are due by invoice or on next scheduled appointment.

  • LATE CANCELLATION is described as:

    • Cancellation under 24-hours prior to scheduled appointment​ (Monday appts must be cancelled by Friday 12pm). Cancellation must be confirmed by staff to be valid.

    • 15-minutes LATE to an INTAKE (patient portal must be completed by time of scheduled appointment)

    • 8-minutes LATE to a PSYCHIATRIC (MEDICATION) FOLLOW-UP

    • 15-minutes LATE to a THERAPY FOLLOW-UP

  • All medication refill requests or questions must be emailed to REFILL@LHPSYCH.COM.

  • Medication refill request takes SEVEN (7) BUSINESS DAYS to process.

  • We DO NOT accept medication refill request by phone.

  • We DO NOT check emails on the weekends. Hence, refill requests received on the weekend will be reviewed on next available business day.

  • NO SAME DAY REFILLS, without exception.