Legal Consents
Our Clinic is Not a Crisis Center and Does Not Manage Acute Crisis
In case of Emergency
- 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) or dial 9-8-8
- Teen Lifeline (teenlifeline.org): (602) 248-8336 (TEEN)
- Domestic Violence Hotline (800) 799-SAFE (7233), TTY (800) 787-3224, or Text “START” to 88788
Practice Policy
- Patients are financially responsible for any outstanding fees not covered by insurance. Hence, we REQUIRE a form of payment (credit card, debit card) be kept on file.
- We DO NOT provide primary substance abuse treatment. Since our providers are not substance abuse or addiction specialists, we recommend a person go to an agency who specializes in substance abuse/addiction treatment or detox for more customized care.
- We DO NOT have a contract with AHCCCS, hence AHCCCS patients will be financially responsible for all costs.
- For MEDICAL RECORDS REQUESTS, the following applies:
- Anticipate at least FIFTEEN (15-30) BUSINESS DAYS to process.
- Release of Information (ROI) must be in place at time of request.
- There is NO COST to process and send medical records to another provider or clinic to coordinate clinical care. For all other individuals or entities, there is a FEE to process, collect, and send medical and billing records.
- Our providers DO NOT participate in court and legal proceedings, such as but not limited to, custody cases, professional board hearings, nor workman comp cases. In event appearance and participation of the provider is required, the associated fee is defined within our policies and procedures. The patient is financially responsible for ALL legal-specific fees incurred.
No Show/Late Cancellation Policy
- We impose an automatic $175 fee for No Shows/Late Cancellations.
Fees are due by the next scheduled appointment. - LATE CANCELLATION is described as:
- Cancellation under 48-hours prior to scheduled appointment (Monday appts must be cancelled by Friday at 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)
- 15-minutes LATE to a THERAPY FOLLOW-UP

