Fletcher Taylor, MD

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Fletcher Taylor, MD PROCESS OF TREATMENT: Treatment goals will be discussed with you based on your concerns and problems. It is important to understand that the process of psychotherapy can be uncomfortable at times before your goals are reached. Successful therapy is the result of a joint effort and a good working alliance with your physician. However, much of the responsibility for change remains with you. If you are dissatisfied, please discuss your concerns with your physician. For certain conditions, medications can be helpful in treatment and this can be discussed in your sessions. Per the Washington Administrative Code, all patients must be seen at least every 90 days, or sooner, to get their prescriptions written. It also prevents us from prescribing medication if someone has not had a face to face evaluation within the past 180 days. You will be asked to go to your Primary Care Physician, Urgent Care Clinic or the Emergency room. APPOINTMENTS: All sessions are arranged by appointment only. Please be prompt to best use the time reserved for you, as sessions cannot be extended if you arrive late. This office does not give reminder calls for appointments. It is your responsibility to remember and keep track of your appointments. PHONE CALLS AND EMERGENCIES: Calls to our office are answered by our secretary or our 24 hour answering service. Due to the nature of an outpatient practice, it may not be possible for us to respond immediately. If a situation requires an immediate response please ask our answering service for further instruction, call 911, or go to the nearest hospital emergency room. A fee may be charged for telephone consultation in special situations. BILLING AND PAYMENTS: You are expected to pay for each session at the time it is held, unless we agree otherwise or unless you have insurance coverage. If you have insurance coverage you are expected to pay your co-pay at the time of each appointment. The co-pay for mental health is often different from that for other medical visits. If you are uncertain about your co-pay I encourage you to contact your insurer. Until you know for certain what your co-pay is, I would ask that you pay 20% of my fee at the time of each appointment. Ultimately, you are responsible for your account and are expected to pay your bill, whether insurance pays for a portion or not. A finance charge of 1% per month may be added to any balance not paid within 60 days after the charge is incurred. If 90 days pass without a payment, accounts may be sent for collection. If you have any questions about your account, please ask me or my bookkeeper. INSURANCE: I am a contracted provider for many, but not all, local insurance companies. You should be sure to check with your insurer and my intake office to learn whether I am a provider for your plan. You should also learn whether you need a referral or preauthorization in order to be eligible for your mental health benefit, whether you have a separate annual deductible for mental health, and whether your mental health benefit has a maximum yearly number of visits or a maximum yearly dollar amount. My billing department will submit claims to insurance companies that I am contracted with. In order for this to occur you must complete the insurance portion of the “Patient Information” form that was given to you with this office policy; you also need to provide a copy of your insurance card. CHANGES TO THIS OFFICE POLICY: From time to time I may change the business policies described in this document; I will attempt to inform you of relevant changes. INFORMED CONSENT: Your signature below indicates that you have read the information in this document and agree to abide by its terms during our professional relationship. ** My electronic signature acknowledges that I have read and agree to the terms in the before mentioned office policy. ***

* I acknowledge I have read the financial policy above and that I am responsible for all charges regardless of any insurance coverage I have. I understand that delinquent accounts may be assigned to a credit reporting collection agency and agree to pay for all legal costs and expenses including reasonable attorney fees. By signing this Acknowledgement, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

Established patients are always given enough medication and refills until the next office visit. If you have missed or cancelled an appointment, you are responsible to reschedule your appointment in a timely fashion to ensure proper treatment and medication management. If you are going to run out of medication before your next scheduled appointment, please call the office to arrange for medication refills. Consistent 3 month follow up appointments are necessary for safe medical care.

Please note: Rainier Behavioral Health does not provide disability evaluations or court related evaluations.

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