Policies

  • FOLLOW UP APPOINTMENTS

    Regular follow up appointments are required in order to ensure good care. Follow up appointments are scheduled for up to 45 minutes, depending on the complexity of the issue. The appointment time is reserved for you, so it is important that you are on time. If you are late, your appointment will still conclude at the end of your scheduled appointment time, or your appointment may have to be rescheduled. If you miss or have to cancel an appointment, please reschedule within 30 days. If we do not hear from you within 90 days of a canceled or missed appointment and are unable to reach you by reasonable means, we will assume you are receiving your care elsewhere and administratively discharge you from the practice. Please be aware that once discharged, we may not be able to accept you back into the practice should you wish to follow up with us in the future.

    LATE ARRIVAL POLICY

    If you are 10 or more minutes late to an appointment and there is not a reasonable amount of time to complete the appointment, it may be rescheduled so that appropriate attention and time can be dedicated to your/your child's care. Your psychiatrist will make every effort to avoid disruptions to your/your child's care and appreciates timely arrival. Timely communication surrounding late arrival to appointments is appreciated.

    CANCELLATION POLICY

    We certainly understand that emergencies and unexpected events happen. If you need to cancel an appointment, communication in a timely manner is requested. Repeated canceled appointments or "No Show" appointments may result in termination of the physician/patient relationship if scheduling issues interfere with your psychiatrist's ability to provide excellent care. Silverwing Psychiatry does offer text and email reminders. This is done as a courtesy and only if you consent to receive such communication by providing your email address and cell phone number. It remains your sole responsibility to keep track of and attend all scheduled appointments, whether or not you receive the text or email reminder.

    EMAIL/TEXT COMMUNICATION

    Your psychiatrist is available to communicate with you via email and text because of the convenience it allows.  Email and text are not a completely secure means of communication because messages can be addressed to the wrong person or accessed improperly while in storage or during transmission. Complex clinical questions should be discussed during appointments or in the secure patient portal as opposed to over email or text

    MEDICATION REFILLS

    Medication refills will be sent electronically to your pharmacy of choice. Please allow (3) business days for us to respond to refill requests and do not leave these requests to the last minute. If you have not been seen in over three months, you may need to schedule an appointment to obtain a refill. Please be aware than when prescribing medications, we routinely check medication prescription history via available platforms, including state prescription monitoring systems. This is in order to ensure good care.

    CONTROLLED SUBSTANCES

    Patients or their legal guardians are required to sign Silverwing's Controlled Substances Treatment Agreement to receive controlled substance prescriptions from the clinic. This agreement must be updated annually. Refusal to sign the Controlled Substances Treatment Agreement will result in a change of treatment plan to exclude use of controlled substances. Silverwing Psychiatry is required by law to check a profile maintained by the Nevada Board of Pharmacy which keeps track of all controlled substances dispensed in Nevada.

    Patients must be examined in person by my a psychiatrist before starting any new controlled medication(s) or being provided with any additional refills for controlled medication(s).  Patients may be required to comply with drug/alcohol/pregnancy testing to continue receiving controlled medication(s). Failure to do any of the above may result in delay or discontinuation of controlled medication prescription(s).

    PRIOR AUTHORIZATIONS

    Most medications are covered by insurance, but insurance companies sometimes require prior authorization for certain expensive or brand name medications. We cannot guarantee a medication will be covered by your insurance, but we will do what we can to make it as likely as possible by submitting medical justification to your insurance company. 

    INSURANCE COVERAGE

    Silverwing Psychiatry is not in-network for any insurance panels, including Medicare, and is considered an “out of network provider” for PPO plans. While we do not contract with insurance companies, we do assist our patients by providing the paperwork necessary to submit into their insurance carriers for reimbursement (a “superbill”). We are not able to negotiate or submit claims with insurance companies. Please be aware that your insurance provider may not reimburse you for any, or may only reimburse you for a part of, the charges for our services

    PRIVACY

    We ask that all our patients agree to maintain the confidentiality of all other patients of the clinic. Our staff will maintain your confidentiality by not acknowledging you outside of the clinic unless you first acknowledge them.

    DUTY TO REPORT/CONFIDENTIALITY

    Silverwing Psychiatry has a legal obligation to report to authorities if they believe a child, disabled person, or elderly person is being abused or neglected. Silverwing Psychiatry has a legal obligation to report to authorities if they believe you are an imminent danger to someone else, or an imminent physical, mental or emotional danger to yourself.

    Our sessions are confidential, and what we discuss may not be revealed to anyone without your permission except where disclosure is required by law. Disclosure may be required where there is a reasonable concern of: (1) abuse or neglect of a child, (2) danger of harm to yourself or others, (3) grave disability, or (4) in the case of a legal proceedings. Your psychiatrist may find it helpful to consult other professionals about your case; however, neither your name nor any identifying information about you is revealed. In the case that another person (such as a family member or friend) is paying for your treatment, that person will not receive any confidential information about your care without your explicit written consent.

    LIMITS OF SERVICE

    Silverwing Psychiatry does not provide disability evaluations, worker's compensation evaluations, or forensic evaluations. We do not provide legal services or testimony. Should you require legal testimony at some point during your treatment with Silverwing Psychiatry, you will need to retain an independent forensic psychiatrist.

  • HIPAA Notice of Privacy Practices

    THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW CAREFULLY.  PLEASE CONTACT SILVERWING PSYCHIATRY WITH ANY QUESTIONS.

    Our Obligations 

    We are required by law to: 

    • Maintain the privacy of protected health information 

    • Give you the notice of your legal duties and privacy practices regarding health information about you 

    • Follow the terms of our notice that is currently in effect 



    How We May Use and Disclose Health Information 

    Described as follows are the ways we may use and disclose health information that identifies you (“Health Information”). Except for the following purposes, we will use and disclose health information only with your written permission. You may revoke such permissions at any time by writing to our practiceʼs privacy officer. 

    Treatment 

    We may use and disclose Health Information for your treatment and to provide you with treatment-related health care services. For example, we may disclose Health Information to doctors, nurses, technicians, or other personnel, including people outside our office, who are involved in your medical care and need the information to provide you with medical care. 

    Payment 

    We may use and disclose Health Information so that we or others may bill and receive payment from you, an insurance company, or a third party for treatment and services you receive. For example, we may give your health plan information so that they will pay for your treatment. 

    Health Care Operations

    We may use and disclose Health Information for health care operation purposes. These uses and disclosures are necessary to make sure that all of our patients receive quality care to operate and manage our office. For example, we may use and disclose information to make sure the obstetric or gynecologic care you receive is of the highest quality. We also may share information with our entities that have a relationship with you (for example, your health plan) for their health care operation activities. 

    Appointment Reminders, Treatment Alternatives, and Health Related Benefits and Services

    We may use and disclose Health Information to contact you and remind you that you have an appointment with us. We also may use and disclose Health Information to tell you about treatment alternatives or health related benefits and services that may be of interest to you. 

    Individuals Involved in Your Care or Payment for Your Care

    When appropriate, we may share Health Information with a person who is involved in your medical care or payment for your care, such as your family or a close friend. We also may notify your family about your location or general condition or disclose such information to an entity assisting in a disaster relief effort. 

    Research

    Under certain circumstances, we may use and disclose Health Information for research. For example, a research project may involve comparing the health of patients who receive one treatment to those who receive another for the same condition. Before we use or disclose Health Information for research, the project will go through a special approval process. Even without special approval, we may permit researchers to look at records to help them identify patients who may be included in their research project or for other similar purposes.



    Special Situations 

    As Required By Law

    We will disclose Health Information when required to do so by international, federal, state, or local law. 

    To Avert a Serious Threat to Health of Safety

    We will disclose Health Information when necessary to prevent a serious threat to your health and safety or the public or another person. Disclosure, however, will be made only to someone who may be able to help provide treatment. 

    Business Associates

    We may disclose Health Information to our business associates that perform functions on our behalf or to provide us with services if the information is necessary for such functions or services. For example, we may use another company to perform billing services on our behalf. All of our business associates are obligated to protect the privacy of your information and are not allowed to use or disclose any information other than that as specific in our contract. 

    Organ and Tissue Donation

    If you are an organ donor, we may use or release Health Information to organizations that handle organ procurement or other entities engaged in procurement, banking, or transportation of organs, eyes, or tissues to facilitate organ, eye, or tissue donation and transplantation. 

    Military and Veterans 

    If you are a member of the army forces, we may use or release Health Information as required by military command authorities. We also may release Health Information to the appropriate foreign military authority if you are a member of a foreign military. 

    Workerʼs Compensation

    We may release Health Information for workerʼs compensation or similar programs. These programs provide benefits for work-related injuries or illness. 

    Public Health Risks 

    We may disclose Health Information for public health activities. These activities generally include disclosure to prevent or control disease, injury, or disability; report child abuse or neglect; report reactions to medications or problems with products; notify people of recalls of products they may be using; inform a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; and report to the appropriate government authority if we believe a patient has been a victim of abuse, neglect, or domestic violence. We will only make this disclosure if you agree or when required by law. 

    Health Oversight Activities

    We may disclose Health Information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.

    Lawsuits and Disputes 

    If you are involved in a lawsuit of a dispute, we may disclose Health Information in response to a court or a court administrator order. We also may disclose Health Information in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested. 

    Law Enforcement

    We may release Health Information if asked by a law enforcement official if the information is: (1) in response to a court order, subpoena, warrant, summons, or similar process; (2) limited information to identify or locate a suspect, fugitive, material witness, or missing person; (3) about the victim of crime even if, under certain circumstances, we are unable to obtain the personʼs agreement; (4) about a death we believe may be the result of criminal conduct; (5) about criminal conduct on our premises and; (6) in an emergency to report a crime to the location of the crime if victims, or the identity, description, or location of the person who committed the crime. 

    Coroners, Medical Examiners, Funeral Directors

    We may release Health Information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release Health Information to funeral directors as necessary for their duties. 

    National Security and Intelligence Activities 

    We may release Health Information to authorized federal officials so they may provide protection to the President, other authorized persons, or foreign heads of state, or to conduct special investigations. 

    Protective Services and Intelligence Activities

    We may release Health Information to authorized federal officials so they may provide protection to the President, other authorized persons, or foreign heads of state, or to conduct special investigations.

    Inmates or Individuals in Custody 

    If you are an inmate of a correctional institution or other custody of a law enforcement official, we may release Health Information to the correctional institution or law enforcement official. This release would be made if necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others, or; (3) for the safety and security of the correctional institution. 



    Your Rights 

    You have the following rights regarding Health Information we have about you: 

    Right to Inspect and Copy 

    You have the right to inspect and copy Health Information that we may used to make decisions about your care or payment for your care. This includes medical and billing records, other than psychotherapy notes. To inspect and copy this information, you must make your request in writing to our Privacy Officer. 

    Right to Amend

    If you feel that Health Information we have is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our office. To request an amendment, you must make your request in writing, to our Privacy Officer. 

    Right to an Accounting of Disclosures

    You have the right to request a list of certain disclosures we made of Health Information for purposes other than treatment, payment, and health care operations or for which you provided written authorization. To request an accounting of disclosures, you must make your request, in writing, to our Privacy Officer.

    Right to Request Restrictions

    You have the right to request a restriction or limitation on the Health Information we use or disclose for treatment, payment, or health care operation. You also have a right to request a limit on the Health Information we disclose to someone involved in your care or the payment for your care, like a family member or friend. For example, you can ask that we not share information about your particular diagnosis or treatment with your spouse. To request a restriction, you must make your request in writing to our Privacy Officer. We are not required to agree with your request. If we agree, we will comply with your request unless the information is needed to provide you with emergency treatment. 

    Right to Request Confidential Communication

    You have the right to request that we communicate with you about your medical matters in a certain way or at a certain location. For example, you can ask that we contact you only by mail or at work. To request confidential communications, you must make your request in writing to our Privacy Officer. Your request must specify how or where you wish to be contacted. We will accommodate reasonable requests. 

    Right to a Paper Copy of This Notice

    You have the right to a paper copy of this notice. You must ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice. You may obtain a copy of this notice by contacting our office. 



    Changes to This Notice 

    We reserve the right to change this notice and make the new notice apply to Health Information we already have as well as any information we receive in the future. We will post a current copy of our notice at our office. The notice will contain the effective date on the first page, in the top right hand corner. 



    Complaints 

    If you believe your privacy has been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. To file a complaint with our office, contact our Privacy Officer. All complaints must be made in writing. You will not be penalized for filing a complaint.