To make an appointment call us at:
Tomball Office:       281-290-8188
South Loop Office: 713-808-9781
Bryan Office:         979-383-2074
Lufkin Office:        936-229-3621

Office Policies

We are committed to providing you with professional quality service to help manage your mental health needs. After you complete the admission forms, the clinician will gather a history from you and the reason for your appointment. Together we will make a treatment plan focusing on your needs within your first two sessions. The frequency of your sessions will be on your individual assessment.

 

TREATMENT PROCESS

You & your clinician will work together to identify treatment goal & options. You are encouraged to talk as openly as possible about the problems you are experiencing so that your clinician can better assist you in treatment planning.

 

PROVIDERS

Everhealth employs Providers; including M.D.’s, Physicians Assistants, Nurse Practitioners and other providers who are licensed, competent and qualified to provide patient care. All mid-level practitioners are supervised by an MD.

 

SERVICES

Our outpatient clinic offers psychiatric evaluations and psychiatric medication management. The office is open Monday through Thursday from 9:00 a.m. to 5:00 p.m. and Friday 9:00 a.m. to 4:00 p.m. Office staff are available during this time to answer your questions. After office hours you may leave a message for the office staff. Your call will be returned as soon as possible during office hours. Do not leave a message if it is an emergency, please go to the nearest emergency room immediately. In case of a non-medical emergency-if you need to talk with someone you can contact the crisis hotline. General Hotline: 713-HOT-LINE (468-5463), Teen Hotline: 713-529-TEEN (8336), Espanol Hotline: 713-526-8088, or Family Hotline: 713-228-1505

 

EVERHEALTH’S RESPONSIBILITY AND CONFIDENTIALITY

Everhealth clinicians will treat you with respect & maintain your confidentiality. We will inform you about your condition/diagnosis & treatment options, including benefits and risks. This may include consulting with other clinicians & additional physicians involved with your health needs, with your consent. Written permission is required to release any information to another individual or agency, or to receive any information from another individual or agency. The only exception to this policy is if possible elder/child abuse/ neglect is suspected or when there is a serious threat of harm to self or to others. It is required by law to notify appropriate agencies under these circumstances.

 

MISSED/NO SHOW POLICY

As a courtesy, we call to remind you of appointments, but it is YOUR RESPONSIBILITY to keep track of scheduled office visits and attend your appointments. Stating that you did not receive a courtesy call is not an accepted reason to miss an appointment. It is important that you provide us with a working telephone number to contact you. Any cancellation not made at least 24 hours before the scheduled appointment is considered a missed/ No Show appointment and subject to a $25.00 fee. If you are unable to make an appointment due to an emergency, please call and let us know so we can reschedule your office visit
1st No Show Appointment - As a courtesy the $25.00 fee will be waived.2nd No Show Appointment - Patient will be charged a $25.00 fee that must be paid before next office visit. 3rd No Show Appointment - Patient will be charged a $25.00 fee & we reserve the right to discontinue care. 4th No show in a calendar year- Patient will be discharged from the services.

 

INSURANCE AND PAYMENT POLICY

You are responsible to provide us with a copy of your insurance card. If there is any insurance change it must be submitted to the office 24 hours in advance, it can be faxed or given on the phone. Everhealth is currently accepting some commercial insurance policies as well as Medicare, Medicaid and some managed Medicare/Medicaid plans. For the complete list, please ask one of our staff.
If you carry an insurance policy that we do not accept or do not have insurance, you can still be seen at this office as a ‘self-pay’ payment. We will provide you with the receipt, which you may submit to your insurance company for reimbursement.
Please be aware that your insurance company may NOT reimburse you for the full amount of the fee paid or NOT reimburse you at all and EverHealth is NOT responsible for the insurance company’s reimbursement. (1)
The current cash fee schedules are: NEW PATIENT: $175(discounted) FOLLOW-UP: $65-$75(discounted & depending on the complexity).
Full payment must be made at the time of the appointment. We accept cash, credit and debit cards
Your yearly deductible may vary and your copay will depend on the yearly deductible as well as the procedure code applicable to the service you receive during that visit. Payment will be collected at the time of service.

 

MENTAL CAPACITY/DISABILITY & ANY PAPERWORK REQUEST TO BE FILLED/SIGNED BY AN EVERHEALTH PROVIDER

Everhealth Providers receive many requests /week in all our clinics from our patients &/or attorneys to complete paperwork. The numbers of these requests are increasing & liability must be taken into account prior to completing such paperwork.

  • Mental Capacity/Disability forms will be completed for a $250.00 fee per form.
  • A signed release of information must accompany any form requiring completion.
  • Payment and a signed release of information must be received at the time of the request is made.
  • The forms to be completed must be the original form and copies, faxed forms will not be accepted.
  • Forms cannot be completed during a regular office visit and an assessment visit must be scheduled when the payment and the release of information is submitted. Face to face assessment visit is not insurance reimbursable and your insurance will not be billed for it. You are responsible for the payment.
  • Completed forms will be mailed/picked up one week after the face to face assessment visit.
  • Everhealth providers will not sign a treatment plan participation request from a foster/group/residential facility because Everhealth only provides outpatient psychiatric assessments and medication management.

 

EVERHEALTH COURT APPEARANCE REQUEST

We are committed to providing you with professional quality service to help manage your mental health needs. In order for Everhealth Providers to address needs outside of clinic settings such as court appearances will require hourly fees of $350.00 per/hr collected prior to court appearance.

 

DISCHARGE POLICY

There are times that the Everhealth Provider has to make a decision to end the patient/provider relationship. The following are situations in which termination is appropriate and acceptable ONLY by the provider.

  1. Treatment noncompliance: The patient does not or will not follow the treatment plan and/or the guardian of the patient will not guide the patient to follow the treatment plan.
  2. Follow-Up noncompliance: The patient and/or the guardian of the patient cancels and/or does not show-up for the follow-up appointments as recommended by the provider.
  3. Verbal Abuse: The patient and/or the guardian of the patient and/or family member of the patient is rude and uses improper language with the office staff, exhibits violent behavior, makes threats of physical harm, or uses anger to jeopardize the safety and well being of office staff and others around.
  4. Office Policy noncompliance: Any and or all violations of the policy and guidelines.
  5. Nonpayment: The patient owes and makes no effort to make payment arrangements.
  6. Improper use of medication: Receiving same medication from multiple doctors, altering scripts, abusing medication, sharing/trading/selling medication, not informing Everhealth about taking other controlled medications-such as pain medications.
  7. Disruptive Behavior: Lack of supervision of minors (under the age of 18), loud and unruly behavior causing disruption, disturbance to others and clinic routine, standing in the hallway and infringing on the privacy of patients

When the situation is such that the aforementioned situations do continue, the Everhealth Provider and or designee will verbally inform the patient and/or the guardian that such situations may result in patient termination. Should the aforementioned situations continue, the patient and/or the guardian of the patient will be given the letter of termination with a: 30 day supply of medication (non-controlled),or 2 week supply of medication (controlled), or no medications given if the reason for discharge is #6, # 7 and the referral list to continue care as well as any chart notes they may wish to have transferred to their next practitioner.

 

EXPECTED PATIENT BEHAVIOR

Everhealth has zero tolerance policy for violence including verbal and nonverbal threats and or other forms of hostile behavior. Everhealth staff will not serve you and you will be asked to leave the clinic. In the event you do not leave and continue with the above mentioned behaviors, the police will be contacted to have you removed.

Cell phones and all electronic games must be turned off or turned down to vibrate mode as soon as patients are checked in and seated in the lobby. In the event that a call is needed to be answered please step outside the lobby to do so.

Patients may not bring food or beverage inside the building. You will be asked to take it back to your vehicle in order to ensure patient safety from food allergies and to maintain a hygienic environment.
All children must be supervised by a responsible adult at all times. That includes while accessing the bathroom facilities.

 

HIPAA NOTICES
WHO WILL FOLLOW THIS NOTICE

Any physician or healthcare professional is authorized to enter information into your chart. This includes all departments of the practice, employees, staff and other office personnel. In addition we may share with each other and third party specialists for treatment, payment and purposes described in this notice.
WE ARE REQUIRED BY LAW TO: Make sure that medical information that identifies you is kept private. Give you notice of our legal duties. Follow the terms of the notice that is currently in effect.

 

HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU

Treatment- We may use medical information about you to provide you with medical treatment services. We may disclose medical information about you to people outside the office who may be involved in your care. These entities include third party physicians, hospitals, nursing homes, pharmacies or clinical labs with whom the office consults or makes referrals.
Payments- We may use and disclose medical information about you so that treatment and services you receive at our office may be billed to and payment collected from you, and insurance company or a third party
Appointment Reminders- We may use and disclose medical information to contact you as a reminder that you have an appointment for medical services at the office. We do notify our patients by telephone
As Required by Law- We will disclose medical information about you when required to do so by federal, state or local law.


SPECIAL SITUATIONS

Health Oversight Activities- We may disclose medical information to a health oversight agency for activities authorized by law.
Lawsuits and Disputes- If you are involved in a lawsuit or a dispute we may disclose medical information about you in response to a court order. We may also disclose information about you in response to subpoena.
Coroners, medical Examiners and Funeral Directors- We may release medical information to a coroner or medical examiner. This may be necessary to identify a deceased person or determine the cause of death.


YOUR RIGHTS REGARDING MEDICAL INFORMATION ABOUT YOU

Right to Inspect and Copy- If you request a copy of the information we may deny your request due to mental health liabilities.
Right to Amend- If you feel that medical information we have about you is incorrect or incomplete you may ask us to amend the information. In addition you must provide a reason that supports your request. We may deny your request for an amendment but your request is put into your permanent files as that you requested it be change.
Right to Request Restrictions- You have the right to request a restriction or limitation on the medical information we disclose about you for treatment, payment or health care operations.
Right to a paper copy of this notice- You have the right to a paper copy of this notice. To obtain a paper copy of this notice please contact us c/o HIPAA Privacy Officer @ 7324 Southwest Freeway #640 Houston, Tx 77074


CHANGES TO THIS NOTICE

We reserve the right to change this notice


COMPLAINTS

If you believe your privacy rights have been violated, you can file a complaint with our Grievance Officer 281-318-6221
All complaints must be submitted in writing. You will not be penalized or retaliated against for. 

NOTICE CONCERNING COMPLAINTS, Complaints about physicians, as well as other licensees and registrants of the Texas Medical Board, including physician assistants, acupuncturists, and surgical assistants may be reported for investigation at the following address: Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018, Assistance in filing a complaint is available by calling the following telephone number: 1-800-201-9353, For more information, please visit our website at www.tmb.state.tx.us.

AVISO SOBRE LAS QUEJAS, Las quejas sobre médicos, asi como sobre otros profesionales acreditados e inscritos del Consejo Médico de Tejas, incluyendo asistentes de médicos, practicantes de acupuntura y asistentes de cirugia, se pueden presentar en la siguiente dirección para ser investigadas: Texas Medical Board, Attention: Investigations, 333 Guadalupe, Tower 3, Suite 610, P.O. Box 2018, MC-263, Austin, Texas 78768-2018, Si necesita ayuda para presentar una queja, llame al: 1-800-201-9353, Para obtener más información, visite nuestro sitio web en www.tmb.state.tx.us.

 

To make an appointment call us at:
Tomball Office:      281-290-8188
South Loop Office: 713-808-9781
Bryan Office:          979-383-2074
Lufkin Office:         936-229-3621