DEFINITIONS:
If you are interested in learning more about my practice, and you would like to request a free 15-minute inquiry call, please read my practice’s terms and conditions. If you agree to these terms and conditions, please click the grey box titled “By clicking this grey box, you are acknowledging that you have received, read, and agreed to these Terms and Conditions.” By entering your contact information, you are giving consent for A Compassionate Mind and Wellness, LLC to contact you by email and phone.
DEFINITIONS:
The/My: refers to the practice, A Compassionate Mind And Wellness, LLC and to its provider Michele Graney, NP.
You/Your/I/: refers to you as an individual who is voluntarily choosing to view our website and your decision to voluntarily seek our consultation and services.
A: A Compassionate Mind and Wellness, LLC Does Not Offer Emergency Psychiatric or Medical Care Services. In the Event of a Psychiatric or Medical Emergency, Please Call 911 or Go To Your Nearest Emergency Room For Care..
The practice website is governed by United States Law, and is owned and maintained by A Compassionate Mind and Wellness, LLC. The website is hosted by Word Press, and may be viewed and accessed outside the state of Massachusetts. The practice cannot guarantee uninterrupted or error free access to our website. All information on the website is provided without any type of warranty. If you are using the website outside the United States, please be aware that your information may be transferred to, stored, and processed in the United States. By viewing the website, you agree not to introduce any malicious or intentionally destructive software to delete, hack or change any content within the website. You agree not to copy or use any of my practice’s website content or practice forms for any use outside of your care with my practice.
A Compassionate Mind and Wellness, LLC Does Not Offer care to patients under the age of 18 or to patients who do not reside in the state of MA. My practice does not offer medical care, primary care or forensic psychiatry services. My practice does not offer disability evaluations and does not provide disability documentation. My practice will not testify or provide documentation regarding your treatment without a court order..
A Compassionate Mind and Wellness, LLC Does Not Offer Treatment For: schizophrenia, psychosis, suicidality, homicidally, eating disorders, mood disorders, severe major depression, addiction, or substance use treatment. Please note there may be other psychiatric symptoms and/or diagnoses that may not be appropriate for telehealth care and are not within the scope of my practice. All decisions are made via the clinical assessment and discretion of Michele Graney, NP.
Your free 15-minute inquiry call: There is no obligation with this call to either party. Both parties are free to decline scheduling an appointment after the call. During the call, my practice cannot provide any psychiatric or medical advice. The purpose of the inquiry call is to determine if your concerns and psychiatric care needs are within the scope of my telehealth practice. If it is determined that your concerns, and psychiatric care needs are not within the scope of my telehealth practice, my practice reserves the right to decline offering you an appointment and reserves the right to not assume your care.
The practice’s Electronic Medical Record: If an initial appointment is offered and you would like to schedule an appointment, you will be asked to create a free online patient account through the practice’s electronic medical record (EMR) vendor “Therapy Notes” which is located in the state of Pennsylvania, within the United States. Therapy Notes is both HIPAA and PCI compliant, and is a secure cloud based EMR. You will need to provide the practice your full name, age, date of birth, and zip code in order for the practice to email you a “welcome link” that will give you instructions on how to create your free individual account. You agree to create your own individual account in order to retrieve, read, complete, sign, and return all required practice consent and intake forms. By doing so, you consent and agree to having your healthcare information shared and stored within Therapy Notes. All forms need to be reviewed before an appointment may be scheduled. If your initial care needs appear to be within the scope of my practice, you will be contacted to schedule an initial psychiatric evaluation consultation appointment.
Use of your Therapy Notes patient account: You understand and agree that use of this account is for your own personal use and is not to be shared. You agree not to share your username, password, or any other account information to another person or third party. You are responsible for all activity on your account. You must notify my practice immediately of any known or suspected unauthorized use of your account, suspected breach of security, including, but not limited to loss, theft, or unauthorized disclosure of your password. You understand and agree that you are responsible for making sure that your content and other information you desire is properly saved in the event of loss, suspension, or termination of your account. My practice cannot be held liable to you or to any third party for the termination of your Therapy Notes account. My practice reserves the rights to modify, suspend, or close your Therapy Notes patient account at any time.
Appointment Policies: The practice offers telehealth video appointments only. All telehealth appointments are conducted over a secure HIPAA compliant video platform through Therapy Notes. You understand and agree that using video telehealth conferencing technology does not provide in-person care. You understand and agree that telehealth care has limitations in assessing your physical status and a physical examination cannot be performed. You understand and agree that there are potential risks to using telehealth, including interruptions, unauthorized access, and technical difficulties. My practice does not audio or video record any phone calls or appointments. You understand and agree that you are not permitted to audio or video record any phone calls or appointments with my practice. Appointments will not be conducted in the event you are driving and/or if you are not physically located in the state of Massachusetts at the time of your appointment. You understand and agree that the practice reserves the right to refer you to seek alternative psychiatric care at “any time” if it is determined in my professional and clinical judgment that “your psychiatric status and care needs have changed”, and it is determined that you require “a higher level of psychiatric care that is beyond the scope of my telehealth practice”. My practice can assist in transferring your psychiatric care to a local emergency room or to another outpatient psychiatric facility that would be able to provide you with a higher level of care.
Appointment Cancellations and No-Show Policies: You understand that my practice requires at least 24 hours’ notice if you need to cancel an appointment. If you give less than 24 hours notice, you will be charged a Non-Refundable $50 Late Cancelation Fee. Late cancelations due to unexpected illness or other emergencies will be evaluated on an individual basis. If you Do Not Show for a scheduled appointment, you understand and agree that you will be charged a Non-Refundable No Show Fee of $100.
Follow-Up Appointment Requirements: Upon starting a new prescribed medication, you will be required to return for a medication follow-up appointment, biweekly or monthly depending on the type of medication. This will allow my practice to accurately assess medication efficacy, to help monitor for any potential side effects, and to answer any questions. After a therapeutic dose is achieved, follow-up appointments may extend out to 30 days, 45 days, 60 days, and may not extend more than 90 days per Drug Enforcement Agency (DEA) rules and regulations. If you do not return for a follow-up appointment within 90 days, you will need to schedule a follow-up appointment before another medication refill may be sent. For psychotherapy appointments, and ADHD coaching, biweekly or monthly follow up appointments may be recommended depending on your personalized goals. All patients are required to have their own Primary Care Provider (PCP) in order to obtain and manage their medical care outside of my practice.
Telehealth Prescribing: My practice follows and complies with all United States Federal and State of Massachusetts DEA Laws and Regulations for telehealth care and prescribing. The DEA had announced a temporary rule that extended the allowance for practitioners to continue Telehealth prescribing of medications, including controlled class medications (i.e., stimulant medications, sleep medications, anxiety medications) to new and/or existing patients who had established care and treatment through telehealth until December 31, 2025. Please note, that either on or before December 31, 2025, the DEA may change these laws and regulations, and may require that all patients will need to be seen in-person via an in-office appointment(s) with their prescriber in order to be eligible to be prescribed a new and/or ongoing medication refill. Therefore, “All Patients of A Compassionate Mind and Wellness, LLC Must Agree To Comply and Must Attend Any In-Office Appointments Mandated By All DEA Laws and Regulations.” You understand and agree that continuation of your care, and your eligibility for ongoing prescriptions are contingent upon your compliance and attendance to all appointment requirements mandated by all Federal and Massachusetts DEA Laws and Regulations. My practice reserves the right to clinically assess and determine whether or not a prescription(s) may or may not be clinically indicated for you. My practice reserves the right to decline prescribing any new medication(s) and/or may decline continuing prescribing any medication(s) that may have been prescribed to you by another provider outside of my practice.
Payment Policies: My practice only accepts online credit card payments from Visa, Mastercard, Discover, American Express Credit Cards, and Health Care Allowance Credit Cards. The practice does not accept cash, checks or non-United States currency. All credit card payments are to be made on-line through Therapy Notes’ integrated PCI compliant credit card processing vendor “Card Pointe”, that is owned and operated by Card Connect. You will be required to complete and sign a credit card payment authorization form. This payment authorization form will encrypt your credit card information. My practice does not have access to your credit card information, and your credit card information is not stored within your patient record. By signing the payment authorization form, you give consent and permission to my practice to charge this encrypted credit card for all appointment insurance copays, any outstanding balances, fees, and/or for all ADHD coaching sessions. You understand and agree to remit full payment for all insurance copays and any outstanding patient balances “prior to the start of your appointments”. If your required credit card payment cannot be processed, or if your credit card is declined, then your appointment will be canceled. You will need to reschedule your appointment for another time.
Use of Your Health Insurance: My practice is an “In-Network Provider” with select Blue Cross Blue Shield of Massachusetts health insurance plans, HMO Blue (Managed Care), Preferred Provider Organization(PPO), Indemnity plans. By doing so, you agree and give consent to my practice to release all pertinent psychiatric and medical information to your insurance plan required in order to submit claim(s) to request payment(s) for your appointments. You agree and give consent to Blue Cross Blue Shield of Massachusetts to send all claim payment(s) for all of your appointment(s) directly to my practice.
Out-of-Network Care: If you would like to obtain “Out-of-Network Care” from my practice, you agree and give consent to my practice to charge your encrypted credit card the full appointment fee “prior to the start” of your appointment(s). Upon request, my practice can send you a “Superbill” that “you may submit” to your insurer or health care savings account to request reimbursement for your out-of-network care. My practice cannot be held responsible for and will not submit any Superbills. You understand and agree that you will be responsible for submitting all superbills. My practice cannot guarantee that you will receive reimbursement for any out-of-network care.
Private Pay Patients: My practice also offers care to patients who would like to obtain private pay care. For patients who would like to schedule private pay appointments, and/or ADHD coaching services, you agree and give consent to my practice to charge your encrypted credit card the full appointment fee “prior to the start” of your appointment(s). You may request a “good faith estimate” prior to all appointments, and you may request a copy of your paid invoices.
Insurance Copays, Deductibles and Patient Amounts: You understand that you are responsible to obtain information about your insurance plan, including if any referrals are required, copay amounts, and all deductible amounts. If you have not met your insurance deductibles, you understand and agree that you will be held responsible for making full payment for all appointment fees until you have met all insurance deductibles. You understand and agree that you are responsible to remit full payment for all appointments, and for any charges not paid or not covered by your insurance.
Additional fees: You understand and agree that you are responsible to remit full payment for all appointments, and for any charges not paid or not covered by your insurance which may include all charges billed to you for any additional time spent outside of your appointment(s) in order to contact your therapist, primary care provider or other health care provider to obtain pertinent patient history/records to coordinate your care. Please refer to the practice’s payment policy form for more information.
No Refund Policy:. You understand and agree that my practice has a “No Refund Policy”. My practice Does Not Give Refunds for any initial psychiatric evaluations, consultations, psychotherapy appointments or for any ADHD coaching sessions. All Appointment Copays, Appointment Fees, Psychotherapy Fees, ADHD Coaching Fees, Late Cancelation Fees, and all No-Show Fees are Non-Refundable.
Unpaid Patient Balances: You understand and agree that you are responsible for remitting full payment for all outstanding patient balances to A Compassionate Mind and Wellness, LLC. You understand and agree that your outstanding patient balance may not exceed $125. In the event your patient balance exceeds $125, you agree and give consent to my practice to charge your encrypted credit card for the full amount of your outstanding patient balance “prior to the start of your next appointment”. Any outstanding patient balance that is Sixty (60) Days Past Due, will be transferred to a collection agency. All unpaid patient balances will be charged an additional interest of 1.5% per month until all outstanding balances are paid in full and will be charged an additional interest of 18% per year until the balance is paid in full. You will be responsible and will be held liable to pay all fees and costs related to the collection of your unpaid patient balances, including all fees and costs related to collection agency services, and all attorney fees related to small claims court.
Care and Treatments: You understand and agree that your recommended treatment regimen will be multifactorial. You understand that you are free to accept or decline any treatments or services that may be recommended and or offered to you by my practice. You will be informed of potential benefits and risks to consenting or refusing medication and non-medication treatments. Treatment options may include non-pharmacologic treatments and strategies to help improve your sleep, exercise, eating more healthy, stress management techniques, mindfulness/meditation, adjunct psychotherapy, and if appropriate prescribed medication(s). My practice cannot guarantee that any recommended non-pharmacologic treatments, prescribed medications, counseling, and/or any psychiatric advice that may be given to you during appointments by my practice may improve, resolve, or cure stress, sleep, or any symptoms or diagnoses. My practice cannot guarantee that any medication(s) prescribed or recommended to you will provide any benefit, and cannot guarantee that their use will not result in any side effects or tolerance. My practice cannot guarantee that any medication(s) that may be prescribed to you will be covered by your prescription plan.
ADHD Coaching: All ADHD coaching services are offered for private pay only. Full payment for all ADHD coaching services are due prior to the start of each ADHD coaching session. ADHD coaching services are not intended to evaluate, diagnose, treat, or cure ADHD, and/or any other psychiatric or medical condition. During ADHD coaching sessions, my practice cannot offer any psychiatric or medical advice, and cannot recommend or prescribe any medications. No guarantees can be made regarding improvement in your time management, organization, productivity, and/or meeting goals from ADHD coaching.
The Practice’s Privacy Policies: My practice adheres to Federal and Massachusetts state laws to protect the privacy, confidentiality, and security of all patients. My practice implements and maintains policies and procedures in compliance with the Federal Health Insurance Portability and Accountability Act (HIPAA) that provides privacy protection and patient rights regarding the use and disclosure of your Protected Health Information (PHI). You will be provided a copy of the practice’s privacy policies prior to your first appointment. My practice is required by law to report any known and/or suspected abuse or neglect of any child, minor, adult and/or any individual to local law enforcement or state agencies. In the event your safety is at risk, or in the event you threaten and/or pose a danger to another individual, my practice is mandated by law and reserves the right to disclose your information and location to local police and/or fire department(s).
Security of Personal Data Policies:The security of your personal data is important. Please note, there is no method of transmission over the internet, or method of electronic storage that is 100% secure. While my practice strives to use commercially acceptable means to protect your personal data, you understand that my practice cannot guarantee its absolute security. You understand and agree that my practice cannot control or secure your personal computer or device that you use to enter your personal information, or you may use to attend telehealth appointments. You understand by sharing your PHI and returning all practice forms to my practice, my practice cannot prevent potential cyber interception or compromise of your personal information. In the event of a data breach with Therapy Notes, or with credit card payment vendor “Card Connect/Pointe”, or within its HIPAA compliant cloud hosting vendor “MS Azure Cloud”, you understand and agree that A Compassionate Mind and Wellness, LLC and Michele Graney, NP cannot be held liable for any data breach related to your use or by my practice’s use of your Therapy Notes patient Account. In the event your personal information was disclosed, you will receive notification.
Patient Records: All patients of the practice may request to review and/or receive a copy their patient records, except in the rare case, that the practice clinically determines that access to your records would be detrimental to you. In this situation, you have the right to be provided a summary of your patient record, and to have your record sent to another mental health provider, or to your primary care provider, or to your attorney.
The Practice’s Discharge and Termination of Care Policies: you understand and agree that both you and my practice reserve the right to decide to discontinue and terminate care at any time as defined within these Terms and Conditions. You understand and agree that if you do not give my practice accurate and truthful information, my practice reserves the right to discharge you from the practice. In the event you have more than two (2) Late Cancelations and/or two (2) No-Shows within in three (3)-month period, my practice reserves the right to decline scheduling future appointments with you and reserves the right to terminate care with you. You understand and agree to abide by my practice’s medication refill policies and agree to comply with my practice’s random drug testing policies. If you fail to comply with random drug testing, my practice reserves the right to discontinue prescribing your medication(s)s until you have completed the requested drug testing. If you do not agree to undergo random drug testing and/or in the event you should fail the random drug testing, my practice reserves the right to discontinue prescribing your medication(s) and reserves the right to discharge you from the practice. My practice does not tolerate or condone any disrespectful verbal language or physical behaviors. My practice reserves the right to notify local police and reserves the right to terminate care with you.
Revision of Our Terms and Conditions: My practice reserves the right to revise and update these Terms and Conditions as needed to reflect changes in our services and to comply with any regulatory changes. My practice will post any changes to the Terms and Conditions to the practice website and will notify patients of any revisions and updates. By you continuing to seek my care services after these revisions, and updates become effective, you agree to be bound by these revised terms. If any provision of these Terms are found to be invalid by any court, the invalidity of any provision shall not affect the validity of the remaining provisions of these Terms and Conditions.
My Practice’s Force Majeure Clauses: You understand and agree that A Compassionate Mind And Wellness, LLC and Michele Graney, NP cannot be held liable for any performance delays or for not being able to complete any appointments due to unforeseen events, such as random acts of God, severe inclement weather, national disasters, fire, flood, power or internet failure due to any National, State or Local Emergencies, or due to any pandemic, labor strikes, acts of war or terrorism. You understand and agree in the event of a Force Majeure, you will be held liable to pay all outstanding balances accrued for all prior appointments and services rendered before the Force Majeure. If any type of Force Majeure should continue for more than 30 days, you may decide to terminate care with my practice, and my practice reserves the right to terminate further care with you.
My Practice’s Indemnification Clauses: You agree to indemnify, defend, and hold harmless A Compassionate Mind and Wellness, LLC and Michele Graney, NP from all liabilities, losses, claims, damages, judgements, settlement payments, deficiencies, penalties, fines, interest, and expenses suffered, sustained, incurred or paid by the indemnified parties, in connection with, results from or arising out of, directly or indirectly with any telehealth psychiatric evaluations, consultations, appointments, psychotherapy, recommended non-pharmacologic treatments, from any prescribed medication(s) and/or from any ADHD coaching sessions rendered by A Compassionate Mind and Wellness, LLC and Michele Graney, NP. My practice may change, suspend, or discontinue services at any time. This indemnification clause covers liability or expenses from any lawful use or violation of these Terms and Conditions.
My Practice’s Jurisdiction Clauses: Your agreement to receive voluntary psychiatric evaluation, consultation, treatment, psychotherapy and/or ADHD coaching services offered by Compassionate Mind and Wellness and Michele Graney, NP all shall be construed in accordance with the laws of the state of Massachusetts. Any dispute between A Compassionate Mind and Wellness, LLC, Michele Graney, NP, and you related to these terms and conditions, and to policies and agreements signed by you, all shall be resolved exclusively in the state of Massachusetts and within the state of Massachusetts Courts, and if applicable within the Federal Courts of Massachusetts.
By clicking the grey box, “you are certifying that you have received, read, and you are in agreement to the Terms and Conditions.” This constitutes a legal agreement between you and A Compassionate Mind and Wellness, LLC. If you do not agree to these Terms and Conditions, you will not be able to request an inquiry call and you will not be able to obtain services from A Compassionate Mind and Wellness, LLC.
