Disclaimer

DISCLAIMER

The patient agrees to arrange or have available primary care services or a local hospital emergency room in case of emergencies or complications. You agree this clinic constitutes the equivalent of an urgent care service visit without a contract or agreement for long term care/follow up except by mutual consent. The Arkansas Anxiety Clinic’s terms of treatment and other procedures includes but is not limited to the following statements. State regulations require patients to meet with the Doctor in person(once only) for ID confirmation, and to establish a patient relationship that is included with the telepsych fee without additional expense for the first appointment only.This clinic does not offer on call services. The patient agrees to read the drug manufacturer’s medication FDA prescription information insert via the internet. and agrees to hold the provider blameless for FDA approved treatments.

Notice of Termination of Services for Fraudulent Conduct

WHEREAS, the Healthcare Provider (hereinafter referred to as “Provider”) is committed to delivering healthcare services in compliance with all applicable federal and state laws, including but not limited to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended, and its implementing regulations (45 C.F.R. Parts 160 and 164); and

WHEREAS, the Provider maintains a strict policy against fraudulent conduct by patients, including but not limited to the submission of false information, misrepresentation of identity, insurance fraud, or any other deceptive practices intended to obtain services or benefits improperly; and

WHEREAS, such fraudulent conduct undermines the integrity of the healthcare system, violates the trust inherent in the patient-provider relationship, and may result in legal and financial consequences;

NOW, THEREFORE, be it known that:

1. Termination of Services: Any patient found to have engaged in fraudulent conduct, as determined by the Provider in its sole discretion based on reasonable evidence, shall have all healthcare services terminated immediately and indefinitely. This includes, but is not limited to, the cessation of all appointments, treatments, prescriptions, and access to any medical or administrative services provided by the Provider.

2. HIPAA Compliance: In accordance with HIPAA regulations, the Provider shall protect the confidentiality, integrity, and availability of all protected health information (PHI) during the investigation of suspected fraud and any subsequent termination of services. Any disclosures of PHI related to the investigation or termination shall be limited to the minimum necessary as permitted under 45 C.F.R. § 164.502(b) and shall comply with all applicable laws.

3. No Reinstatement Without Approval: Termination of services due to fraudulent conduct shall be indefinite, and reinstatement of services shall not be permitted unless expressly authorized in writing by the Provider’s designated compliance officer or authorized representative, following a thorough review of the circumstances and any remedial actions taken by the patient.

4. Reservation of Rights: The Provider reserves the right to pursue all available legal remedies, including but not limited to reporting fraudulent conduct to appropriate authorities, seeking restitution, or initiating civil or criminal proceedings as permitted by law.

5. Notice to Patient: The patient shall be notified of the termination of services in writing, delivered via certified mail or other verifiable means, to the last known address provided by the patient. Such notice shall include a summary of the reasons for termination, consistent with HIPAA’s minimum necessary standard.

IN WITNESS WHEREOF, this policy is enacted to ensure the integrity of the Provider’s services and compliance with all applicable legal and regulatory requirements, including HIPAA.

Effective Date: This policy shall take effect immediately upon adoption and shall apply to all patients receiving services from the Provider.

. All drugs can cause side effects and or reactions. If treatment is offered, the patient agrees to use meds as directed without unilaterally changing dosages. The patient will notify the clinic of any addition of new meds by other providers, and agrees to let other providers know of these clinic prescriptions. The patient agrees to not offer or sell the medications to third parties or family members nor to overdose on the meds. Medications cannot be stopped abruptly as withdrawal symptoms can occur and be serious. If a crisis develops, you agree to seek emergency room help or to call crisis lines as provided by the Division of Mental health through local mental health centers. Anxiety is first treated by SSRI’s which can take a month to kick in .Benzodiazepines are sometimes used at some point for severe anxiety patients  .   The patient agrees to not make legal decisions/contracts if suffering sedation and will not drive or perform dangerous activities if having side effects. The patient acknowledges that illicit drugs nullify benefit from psychiatric medications and place the person at grave risk. We do not accept insurance and the patient is totally responsible for their treatment. We do not accept suicidal or homicidal patients.In rare cases patients may need to be seen in person .The patient acknowledges that any professional opinion is rendered in good faith and depends upon an honest full history from the patient and that they should seek a second opinion if in disagreement with this clinic’s recommendations. I authorize and agree to using my telemed location as the arkansas anxiety clinic office for the duration of our session. I attest I have a urgent medical need and my health could deteriorate if I don’t receive urgent care through this service. Patients on suboxone can only be prescribed non-scheduled medication. By virtue of using this site I attest that I have read and understand the aforementioned .There are no refunds.The patient agrees to obtain random drug testing to allow safe clinical care if deemed appropriate by the provider and that refusal terminates the patient-physician relationship. Providers are independent contractors and arkansas anxiety clinic does not direct their treatment.Arkansas Anxiety Clinic is owned by little biscuit production LLC.Usage of this site is acknowledgement of your agreement to these terms .Questions can be directed to staff@arkansasanxietyclinic.com.