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Step 1: Complete the New Patient Paperwork

Before you can schedule your first appointment, the following forms packet must be completed, submitted and accepted by our office. Please complete ALL 13 pages of the forms by clicking the link provided below. You will be able to submit all the New Patient forms listed below as one PDF document. In order to process your paperwork in a timely manner, please be sure to complete each section in its entirety. 

We strongly encourage these forms to be filled out using a desktop computer, laptop computer, or a tablet for ease of use, as the forms may not be mobile friendly.

The New Patient Packet includes:

– Patient Information

– Medical History

– Medication List

– Practice Policies

– Telemedicine Patient Agreement

– Credit Card Information

– Notice of Privacy Policies Acknowledgement of Receipt

Note: Completing the forms online will route you to a secure Adobe fillable form. Once you have reviewed and completed all 13 pages, you will click the blue Submit button, enter your email address and click Submit. Once the document has been processed and submitted to us, you will see a You’re all set page that will indicate you have submitted the “New Patient Packet.” Your forms packet will be delivered to us electronically though a secure document portal. You will also receive a copy of the completed forms.  

 

*Failure to complete the paperwork in full, will delay scheduling an appointment.

Step 2: Submit your Insurance Card and Photo ID

Please email a clear legible copy of the following to us via email at info@integrativebehavioralhp.com 

– The front AND back of your insurance card

– Your driver’s license (or other current photo ID)

All patients must submit a copy of their driver’s license (or other current photo ID) and a current valid insurance card to provide proof of insurance. If you are insured by an insurance plan we contract with but do not have an up-to-date insurance card, payment in full for your visit will be required until we can verify your coverage. Please contact your insurance company with any questions you may have regarding your coverage.

Step 3: Scheduling an Appointment

Once all required New Patient Forms and documents listed in Step 1 and 2 have been submitted and accepted by our office, we will contact you within 48 business hours to schedule your first appointment as a New Patient.

Please note: New Patient Appointments are offered via telehealth Monday-Thursday 7:40am-4:00pm; in person on Wednesdays mornings in our Raleigh office (Six Forks Rd) and on Thursdays in our Chapel Hill office (E Franklin St)

Step 4: The day of your New Patient appointment

For telehealth:

Log onto the virtual Doxy waiting room for the provider you are scheduled with AT LEAST 15 minutes prior to your scheduled appointment. Please ensure you have a working electronic device (computer, tablet, or smartphone) and a working internet connection. Please note that if you are using a smartphone or a tablet for your appointment, after you sign into the waiting room using your name, if at any point your phone’s screen goes to sleep or you close the web browser window to access another app, you will be timed out on our end. To prevent this from occuring, every few seconds tap your screen until the visit begins.

Karen Nicholson    https://doxy.me/karendaynp

Mary Hartsell         https://doxy.me/npmaryhartsell

Megan Webster    https://doxy.me/meganwebstermd

Tara Harris            https://doxy.me/taraharrisdnp 

For in-person: 

Arrive AT LEAST 10 minutes prior to your scheduled appointment and have a seat in the waiting room. 

– Chapel Hill Office     1829 E Franklin St Ste 1200D Chapel Hill, NC 27514

– Raleigh Office     5711 Six Forks Rd Ste 310 Raleigh, NC 27609

GETTING STARTED

Welcome! Thank you for choosing Integrative Behavioral Health and Healing Practice as your partner in your mental health and wellness journey. Here’s what you need to do to establish care with us.  

Follow these steps before your first appointment to ensure the best experience for your first visit with your new Integrative Behavioral Health and Healing Practice provider.  

OFFERING TELEMEDICINE & IN PERSON TO NC PATIENTS!

DO YOU TAKE INSURANCE?

Yes. Most major health insurances are accepted. Depending on your current health insurance provider or employee benefit plan, it is possible for services to be covered in full or in part. Please contact your insurance provider to verify how your plan compensates you for psychiatric/behavioral health services.

Insurances accepted:

  • Aetna
  • BCBSNC state employee plan
  • BCBS commercial
  • Cigna/EverNorth
  • Medcost
  • Medicare
  • Multiplan
  • United/UBH/Optum

If you have any questions regarding billing please contact our biller Renee Shadley at billing@integrativebehavioralhp.com or you may call her office at 1-877-454-9036.

We recommend asking these questions to your insurance provider to help determine your benefits:

  • Does my health insurance plan include mental health benefits?
  • Do I have a deductible? If so, what is it, and have I met it yet?
  • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
  • Do I need written approval from my primary care physician in order for services to be covered?
HOW CAN I MAKE A PAYMENT?

If your credit card is not on file 72 hours prior to appointment please contact our biller Renee Shadley at billing@integrativebehavioralhp.com or you may call her office at 1-877-454-9036.

We accept most major credit cards as forms of payment. All co-pays, co-insurances, and deductible payments will be processed through Easy Pay, a secure, online payment platform that stores debit and/or credit card information. 24 hours after your visit, the amount you owe will be automatically deducted, so there will be no need for you to present a card to be swiped. At the time of scheduling your first visit, you will be required to provide the debit or credit card that you wish to be stored for payment purposes.

As a courtesy to you, we will file claims for your sessions electronically; however, payment of all applicable co-pays, co-insurances and deductibles are required at the time of service. We will not be able to file claims with your insurance company unless you provide complete and accurate information about your insurance. It is your responsibility to ensure that we have the correct information and that you promptly inform the practice of any changes in your coverage. If, for any reason, your insurance company does not reimburse Integrative Behavioral Health & Healing Practice for services rendered, you will be responsible for those charges. Attempts to collect this balance will be made for 30-90 days past due. Any balances that age past 90 days will be transferred to a collection agency.

WHAT IS YOUR CANCELLATION POLICY?

We set aside this time especially for you. We hope this time is as valuable for you. In the case of an emergency, we ask for a 24-hour notice to not incur a charge. No-show appointments are charged based upon the time set aside for you.

If you are a new patient, a no-show or less than 24 hr cancellation of your new patient appointment is subject to a $400 fee. (not covered by insurance)

If you are an established patient, should you need to cancel your appointment, please do so at least 24 hours prior. Missed appointments and late cancellations are subject to charges on the card on file of $175.00-$250.

If you cannot be reached by your provider within 10 mins of the start time of your appointment you may be considered a no-show and you will have to reschedule and be charged a fee for a missed appointment to your card on file.

WHAT ABOUT REFILLS?

Patients are required to be seen every 2-3 months in order to obtain refills.

Call your pharmacy 3-5 days prior to running out of medication and they will send us a refill request.

Allow 48-72 business hours for refill requests.

If it is a refill for a class II controlled substance (ADHD stimulants) call the office at 984-288-0880 and request a refill. Refills are not considered an emergency and will be handled during regular business hours of 7:40am and 4pm, within 72 business hours.

LIMITS OF CONFIDENTIALITY

Duty to Warn: medical providers are mandated by law to disclose pertinent information discussed in appointments if the patient:

  1. Has intent or plan to harm another person. We are required to inform the intended victim and notify legal authorities.
  2. When there is reasonable cause to believe child/elder abuse or neglect has occurred.
  3. When an emergency situation requires sharing of information.
  4. When required for insurance billing purposes.
  5. When a court order is received.
EMERGENCIES

For after-hour emergencies ONLY you may contact our on-call provider on weekends at the following number 984-288-0880. Please note a charge will be applied for contacting the on-call provider.

If an emergency is needed please call 911 or go to the nearest emergency room. Emergency situations include serious psychiatric medication reactions or risk of harm to oneself or someone else.

ANY OTHER QUESTIONS?

Please contact us with any additional questions you may have. We look forward to hearing from you!

WHAT CAN I DO TO HELP?

We are so glad and honored that you are dedicated to starting treatment with Integrative Behavioral Health & Healing Practice, PLLC. Your active participation and dedication will be crucial to your success.

WHAT ARE YOUR SELF-PAY RATES IF I DON'T HAVE INSURANCE

You will ONLY pay this amount if you HAVE NO INSURANCE. otherwise your insurance covers cost of visit and will only have to pay for your copay cost.

New Patient Evaluation, 60 minutes $400.00
Follow Up Appointment, 40 minutes $250.00
Follow Up Appointment, 30 minutes $200.00
Follow Up Appointment, 20 minutes $175.00
CNS/VS Testing $500.00

Paperwork/Forms Completion Appointment for 2+ pages (20 min)

$175.00
Paperwork/Forms Completion Outside of an appointment for 2+ pages (i.e., FMLA, Disability, etc.) $400/hr
Paperwork/Forms Completion Appointment for 1 page (20 min) $175.00
Paperwork/Form Completion Outside of an appointment for 1 page (i.e., for School, Medication Administration, etc.) $25.00
DO YOU OFFER COURT RELATED SERVICES

We do not offer court related services.