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, Terms , Confidentiality, Emergencies & After Hours |
Adult Form (pdf) |
Child Form (pdf)
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| Professional Fees: | ||
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Psychiatric Evaluation (1-1.5 hours) $375 Child/Adolescent $350 Adults Minors must be accompanied by parent / guardian for evaluation and most follow ups Follow ups for med management and or psychotherapy - 15 minutes / $125 30 to 45 minutes / $180 Additional time will be billed at increments of $45 / 15 minutes Phone Contacts / Letters Written, etc. Any contact outside of a scheduled appointment (including contact with or for your insurance company) will be billed at the above rates. Phone calls less than 15 minutes charge is $45 Payments for services are expected at time of service by cash, check or credit card. I provide you with the necessary information so that you can bill your insurance company but will likely not be on any panels other than OSU. For those insured through OSU plan, I will accept a co-pay and bill insurance. Cancellations & No-Shows “No Show “ for Appointments without notice will be billed to you at the full fee of typical appointment late cancellations within the 24 Hours $ 75. Insurance will not likely reimburse you for these fees. Confidentiality Everything that takes place in treatment is confidential and may not be released without your expressed written permission. There are two exceptions to this; if you or your child becomes a danger to self or others; and if you or your child is involved in child abuse. In these situations I am legally bound to break confidentiality in order to protect all involved. Emergencies & After Hours My Voicemail (614-845-6250) will be checked daily on weekdays and once on weekends. In event of emergency, please call 911 or proceed to your appropriate emergency room or urgent care. Riverside Hospital Behavioral Health also provides emergency services at 614-566-5056 About Accepted Insurance: Dr. Gentile's practice is part of the Ohio State University insurance plan. However, most of Dr. Gentile's practice is 'fee for service' which means clients pay for the appointments and seek reimbursement from their insurance company independently. Tele. 614.228.7275 • Fax: 614.228.7289 • pgentile@patriciagentilemd.com 1115 Bethel Road, Columbus Ohio 43220 |
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