Opioid Treatment Contract

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**NEW PATIENT FORM**

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What To Expect

When you call, our staff can answer questions about our services, fees, and insurance. They will ask you to give a brief description of the problems you are experiencing. This is in order to match you with the appropriate provider. A deposit based on type of service will be required at the time you schedule your initial appointment. This will go towards your deductible or copay. Failure to show will result in a forfeit of deposit to the practice.

 

Confidentiality

Treatment is confidential by federal law and by our own code of ethics. There are a few limited exceptions. We make every effort to limit the release of information to what is necessary and to make you aware of any release of information that is without your consent.

 

Release of Information

We will not release any information to your spouse, family, employer, attorneys, or courts of law without your written consent. We recommend against releasing your entire medical record, especially if the release is for non-treatment purposes. Your written consent should be specific about what information to release. We do charge a fee to prepare information based on the amount of time involved.

 

Insurance

We accept most major commercial insurances. There may be fees for some services that are not covered by insurance. Contact us for more information.

 

Languages Spoken

 

We have staff members that are fluent in Spanish and can offer therapy in Spanish.

Outside Resources (not affiliated with Barrier Islands Psychiatry)

  1. National Alliance on Mental Illness (NAMI)
  2. National Alliance on Mental Illness (NAMI)
  3. Calm.com Relaxation Exercises
  4. Mount Pleasant Senior Center
  5. Guided Meditations from Audio Dharma

 

Addiction Resources and Support Groups

  1. Moderation Management –support for healthy use of alcohol
  2. Moderate Drinking –online course to help reduce drinking
  3. SMART Recovery –online support as an alternative to AA
  4. Overcoming Addictions –online course to help stop drugs and alcohol
  5. Alcoholics Anonymous (AA) Charleston area groups