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Terms And Conditions

DYNAMIC PSYCHIATRY & WELLNESS
TERMS AND CONDITIONS

 

Thank you for choosing Dynamic Psychiatry & Wellness as your mental health care provider. We are committed to delivering high-quality, professional, and ethical care. The following terms and conditions outline the expectations, policies, and responsibilities associated with your care.

 

By engaging in services with Dynamic Psychiatry & Wellness, you acknowledge and agree to the following:

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PATIENT CONDUCT POLICIES
Recording of Sessions

Patients agree not to record any session (audio or video) without prior written consent from both the patient and the provider. Verbal consent is not sufficient.

As part of our commitment to quality improvement, training, and clinical excellence, sessions may be recorded and reviewed by a supervisor or peer evaluator. These recordings:

  • Are used solely for quality assurance and training purposes

  • Are not part of the designated medical record

  • Are not routinely available to patients

  • Are maintained and handled in accordance with applicable laws

  • Are typically destroyed after review

By participating in services, you consent to this process.

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Telemedicine and Emergency Location

Patients participating in telemedicine agree to:

  • Provide their current physical location at the beginning of each session

  • Participate only from a location where emergency services can be dispatched if needed

If a patient is unable or unwilling to provide their location, the provider may decline to proceed with the session.

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Timeliness

We strive to respect our patients by running on time.​

  • If we are late, we will make every effort to provide your full appointment time or offer a no-cost reschedule if needed.

  • If you arrive late, we will meet with you for the remaining scheduled time when possible. Additional concerns may need to be addressed in a future appointment.

  • If a patient arrives more than 15 minutes late for a 60-minute appointment, or more than 5 minutes late for a 30-minute appointment, the appointment will be considered a No Show and may be subject to the applicable fee.
     

APPOINTMENT POLICIES
Definitions

  • No Show: Failure to attend a scheduled appointment

  • Same-Day Cancellation: Cancellation less than 24 hours before the appointment

  • Late Arrival:

    • More than 15 minutes late for a 60-minute appointment

    • More than 5 minutes late for a 30-minute appointment
       

Cancellation and Attendance Policy

To avoid the not show fee, patients are expected to provide at least 24 hours’ notice for cancellations. This allows appointments to be offered to other patients in need.

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Established Patients

  • Appointments must be canceled at least 24 hours in advance

  • Repeated no-shows or late cancellations (typically three or more) may result in review for possible dismissal from care at the provider’s discretion
     

New Patients

  • Failure to attend an initial appointment may result in withdrawal of the offer for care

  • Late arrivals may require rescheduling and may be subject to a missed appointment fee
     

No Show and Late Cancellation Fees

  • A fee of $100 may be charged for:

    • No-shows

    • Same-day cancellations

    • Late arrivals that prevent safe or appropriate clinical care

  • Fees are charged to the card on file in accordance with practice policy and applicable laws

  • Fees may be waived or adjusted at the discretion of the practice based on circumstances
     

Cancellation List

Patients may request to be placed on a cancellation list to be seen sooner if appointments become available. Availability is not guaranteed.
 

Credit Card on File

Patients are required to maintain a valid credit card on file.

  • Cards are stored securely through a third-party payment processor

  • Dynamic Psychiatry & Wellness does not store financial information directly

  • The patient is responsible for keeping payment information current

By providing a card on file, you authorize the practice to charge for:

  • Copayments, deductibles, and coinsurance

  • Missed appointment fees

  • Outstanding balances

This authorization complies with applicable laws and insurance requirements.
 

Outstanding Balances

  • Payment is expected at the time of service

  • Balances not paid within 60 days may be charged to the card on file

  • Accounts exceeding 90 days may accrue interest up to legally permitted limits

  • Accounts may be referred to collections in accordance with applicable laws

  • Reasonable collection costs may be added where permitted

Failure to maintain payment arrangements may result in suspension of scheduling or services, except where continuation of care is clinically necessary. In such cases, appropriate transition of care will be provided.
 

PATIENT FINANCIAL RESPONSIBILITY

Patients are responsible for understanding their insurance coverage, including:

  • Network status

  • Deductibles and copayments

  • Covered services and exclusions

  • Authorization requirements

We will attempt to verify benefits, but this does not guarantee coverage.

If insurance denies a claim, the patient remains financially responsible.

Copayments are due at the time of service and are typically collected prior to the visit.
 

HIPAA AND CONFIDENTIALITY

Your health information is protected in accordance with federal and state laws.

Information may be disclosed without authorization in the following circumstances:

  • Risk of harm to self or others

  • Suspected abuse or neglect

  • Court orders or legal requirements

  • Compliance with insurance or billing processes

  • Collection of unpaid balances
     

RISKS AND BENEFITS OF TREATMENT

Mental health treatment aims to improve emotional well-being, functioning, and quality of life. However, treatment may involve:

  • Temporary worsening of symptoms

  • Increased emotional distress

  • Emergence of difficult thoughts or feelings

Patients are expected to communicate openly with providers and follow treatment recommendations.
 

CONTROLLED SUBSTANCE POLICY

Controlled substances are prescribed in accordance with federal and state regulations, including requirements for in-person evaluation when applicable.
 

ANXIETY TREATMENT PHILOSOPHY

We prioritize treatments that provide long-term benefit.

Long-term daily benzodiazepine use may be associated with adverse clinical outcomes. Patients requiring chronic benzodiazepine use may not be appropriate for care within this practice.
 

PAPERWORK AND ADMINISTRATIVE SERVICES

Administrative services beyond routine care (e.g., forms, letters, coordination with outside providers) may require a separate appointment and additional fees.
 

DISABILITY AND ESA EVALUATIONS

Dynamic Psychiatry & Wellness does not perform disability evaluations or provide Emotional Support Animal documentation.
 

PROVIDER QUALIFICATIONS

All providers are appropriately trained and licensed. Some providers may not hold subspecialty board certifications. By engaging in care, you consent to treatment by qualified providers regardless of additional board certification status.

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OFFICE POLICIES
Session Lengths

  • Initial and therapy sessions: approximately 45–50 minutes

  • Medication management sessions: approximately 20 minutes
     

After-Hours Care

Dynamic Psychiatry & Wellness is not an emergency service provider.

  • No after-hours or on-call services are provided

  • Response times to messages cannot be guaranteed

  • Patients requiring urgent care should contact emergency services or go to the nearest emergency room
     

Medication Refills

Medication refills are generally provided during scheduled appointments. Exceptions may be made when clinically appropriate.
 

Communication Policy

Clinical discussions occur during scheduled appointments to ensure accuracy and safety. Non-clinical communication (e.g., scheduling) may be handled through administrative staff.

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GOOD FAITH ESTIMATE AND FEE DISCLOSURE

In accordance with federal requirements, patients are entitled to a Good Faith Estimate of expected charges.

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Typical Self-Pay Rates

  • Medication Management:

    • $400 per hour

    • $200 per 30-minute session

  • Psychotherapy:

    • $200 per hour

    • (No 30-minute therapy sessions offered)

  • Wellness Services:

    • $400 per hour

    • $200 per 30-minute session

These are average rates and may vary depending on the specific service provided. Actual costs may differ based on clinical needs, duration of care, and insurance coverage.

Patients may request a personalized Good Faith Estimate at any time.​

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