General Treatment Consent

Nature of Services

This document outlines the terms and conditions for receiving psychiatric treatment. The services provided include psychiatric evaluations, medication management, and psychoeducation services. By signing this document, you acknowledge your understanding and agreement to these terms.

Treatment Process

Your treatment may include a comprehensive psychiatric evaluation leading to diagnosis, medication prescriptions when clinically indicated, and regular follow-up appointments to monitor your progress. Throughout your treatment, you will receive psychoeducation and specific treatment recommendations tailored to your needs. When beneficial for your care, we may coordinate with other healthcare providers to ensure comprehensive treatment.

Risks and Benefits of Treatment

Psychiatric treatment may include medication management, psychoeducation, and therapeutic interventions. Potential benefits include reduction of symptoms, improved functioning, and improved quality of life. Potential risks may include medication side effects, temporary worsening of symptoms, and the possibility that treatment may not achieve the desired outcome. Your clinician will discuss specific risks and benefits relevant to your individual treatment plan.

Medication Management

Our medication management approach is based on careful clinical assessment and medical necessity. To ensure safe and effective treatment, regular follow-up appointments are required to continue medication treatment. All prescriptions, including controlled substances, are managed in compliance with federal and state regulations. Please note that early medication refills are generally not provided, and in cases of lost or stolen prescriptions for controlled substances, replacement prescriptions may not be issued.

Prescription Refill Requirements

To ensure continuity of care and medication safety, prescription refills will only be provided to patients who maintain regular appointments at least every 30 days. You must have a follow-up appointment scheduled within this timeframe to be eligible for medication refills. This policy ensures that your treatment remains clinically appropriate and allows for proper monitoring of your medication’s effectiveness and any potential side effects. Patients without scheduled follow-up appointments will need to book an appointment before any refills can be processed.

Financial Agreement

By providing your card information, you allow Sway Health to charge your card for future payments in accordance with their terms. Payment is due after each appointment, and Sway Health will charge your card or bank account for the patient responsibility. Receipts will be provided after each charge, and a single charge may include fees for multiple appointments (due to Sway Health’s billing to health plans).
Your insurance may cover some or all of our services.If you have to pay a deductible, copayment or coinsurance for your health care, the usual cost-sharing rules will apply. While we file insurance claims as a courtesy to our patients, please understand that you are ultimately responsible for payment.Patients who are not using insurance to pay for their appointments will be charged according to the following fee schedule:

 

  • Intake Appointments: $400
  • 45 minute Follow Up Appointments: $300
  • 30 minute Follow Up Appointments: $200

We will only charge your card on file under the following circumstances:

  • You are utilizing your health insurance benefits and your insurance company tells us you have to pay some or all of the bill as a part of your plan benefits (i.e., copays, coinsurance, or deductible)
  • You don’t show up to a scheduled appointment or fail to cancel within the required timeframe (see Cancellation Policy)
  • You are a self-pay client and are not utilizing insurance

Disputes may be submitted in writing to support@swayhealth.co within 30 days of the charge.

Cancellation Policy

Patients may cancel or reschedule an appointment up to 24 hours before the scheduled time without any fees.You may modify your appointment by:

  • Using the scheduling system in our online patient portal
  • Sending a secure message through our communication system within the patient portal
  • Calling our office at 833-688-2274 and leaving a message with your name and appointment date and time

    All appointments cancelled or rescheduled with less than 24 hours notice will be charged a $100 cancellation fee. This allows us to offer your appointment slot to other patients who may be waiting. Patients who fail to attend their scheduled appointment without prior notice will also be subject to the cancellation fee.

    Patients with Medicaid:
     Patients covered by Medicaid plans will not be charged cancellation fees for missed appointments. However, patients on Medicaid who miss more than 3 appointments within a 60-day period will not be permitted to continue receiving care from Sway Health.

Communication Policies

For your convenience and privacy, all non-urgent communication should be conducted through our secure patient portal. While you may send messages through the portal at any time, please understand that responses may not be provided until your next scheduled appointment. For emergency situations, you should call 911 or proceed to the nearest emergency room. After-hours contact should be reserved for urgent matters only, and email should not be used for clinical communication.

Emergency Protocol

Sway Behavioral Healthcare does not provide emergency or crisis services. If you are experiencing a medical or psychiatric emergency, call 911 or go to the nearest emergency room. You may also contact the 988 Suicide & Crisis Lifeline by calling or texting 988.

Coordination of Care

To provide you with the most comprehensive care possible, we may share your treatment information with other healthcare providers involved in your care, such as therapists and primary care physicians. This coordination requires your consent, which you can revoke at any time. We believe that open communication between your healthcare providers helps ensure the best possible outcomes for your treatment.

Confidentiality

Your healthcare information is protected under HIPAA regulations, and we take this privacy seriously. Information about your treatment will only be released with your written consent, except in specific circumstances required by law. These exceptions include cases of suspected abuse of a child, elderly, or disabled person; situations where there is an imminent threat to your safety or the safety of others; or when required by law or court order.

Patient Rights

As our patient, you have the right to participate actively in your treatment decisions, including the right to refuse treatment or medications. You are entitled to know the risks and benefits of any proposed treatment, request changes in your treatment approach, and terminate treatment at any time. All treatment is provided without discrimination and with respect for your personal dignity.

HIPAA Compliance

Your health information will be stored securely and protected according to HIPAA privacy and security rules. You acknowledge receipt of Sway’s Notice of Privacy Practices.