New Patients: Prior to your first appointment, please fill out and submit the New Patient Intake Form by following the link above, including any medications and supplements you are taking. It is essential that you email, mail in or drop off this form before your appointment. It will allow your provider to spend more time focusing only on relevant issues rather than reviewing your history. Thank you for your attention to this. If forms are not completed and submitted before your first appointment, we may need to reschedule.
Payment for Services: All clinical practice fees are due at the time of service. We accept cash, personal (non-third party) checks, Visa and MasterCard.
Insurance Contracts: We contract with many, but not all, insurance companies. Please contact our office directly to find out which insurances we currently take.
Out-of-Network Reimbursement: If we are out of network with your insurance company and you choose to seek reimbursement for our services, we will provide you with a monthly statement of all services received. All you have to do is review the information and mail it to your health insurance. On occasion, your insurance company may be willing to work with our office to develop a "single-case agreement" whereby they pay our usual and customary fees, even if we are not in your network.
Cancelled/Missed/Late Appointments:Appointments scheduled and not kept, for any reason, are subject to a No Show / Late Cancellation charge. Your insurance company will not reimburse for any missed appointment fees. Cancellation notification must be given at least 24 hours before your appointment (please call the office number and leave a message or email us at office@wisepsych.com). We will provide you with several reminders. However, you are responsible for keeping the appointment and/or canceling with at least 24 hours notice. If you have any questions about your date/time, please contact us at 720-708-4287 or office@wisepsych.com.
Letters/Forms: Letters and/or forms are often requested by patients (or their parents) to be sent to schools, employers, etc. You will be charged a letter-writing fee for this service, minimum of $25, depending on the complexity of the letter and information necessitated. For letters needing to be written for more professional matters, a minimum fee of $100 will be assigned and needs to be paid prior to any letter being written.
Requests for Records: We will respond to these requests only if the patient (or patient's parents) has completed a signed Release of Information form. Please allow at least two weeks for any request to be processed.
Telephone Calls and Emergency/After-Hours Consultation Fee: Telephone calls are welcome and providers will respond to these as promptly as possible. There is no charge for brief calls. Calls longer than ten minutes are charged directly to you, prorated at the provider's non-emergency rates, with a minimum of $100. Emergency/After-hours - In an extreme or life-threatening emergency, please call 911 or go to your nearest emergency room. If phone calls do take place with a provider and last longer than 10 minutes the patient will be charged at the rate of $100/15 minute increment, minimum $100.
Prescription Refills: At the end of your appointment, you will be told when you should have your next appointment and you will be given enough medications to last until your next appointment. If you have run out of any controlled medications, it almost always means that you are overdue for a follow-up appointment. * * NOTE - PRACTICE STANDARDS REQUIRE ALL PATIENTS BE SEEN IN PERSON, AT MINIMUM, EVERY 3 MONTHS.
Legal/Forensic Work: Any legal/forensic work is performed at a rate of $2000/hour. This includes letters for court or to attorneys, dispositions, testimonies and any other work where court proceedings are involved. Time includes the hours necessary for transportation and preparation for any legal work as well as wait time for court proceedings. Additional billing criteria will be discussed in person. Minimum fee is $2000 and billed in 15 minute increments. Any testimony is at a minimum of 5 hours on the day of testimony; this is in addition to time mentioned above for preparation. Please call for additional details. All fees/legal work must be paid in advance by retainer with amount to be detailed on a case by case basis.
Thank You - We look forward to meeting you and discussing how we can help you!