Welcome to my practice.

I appreciate the opportunity to work with you. The following information is provided for your benefit so that we may serve you better.

1.       PAYMENTS: Fees for services: which include unpaid balances, deductibles; are due at the time of your visit. We accept debit, and all major credit cards.

 2.       APPOINTMENTS: I ask that you arrive on-time for your appointments. This will facilitate my ability to see you as scheduled. Patients arriving past the appointment time may result in rescheduling.

 New Patient Paperwork must be completed and sent to our office two days prior to appointment. If not received in timely manner appointment will be rescheduled.

 3.       CANCELLATIONS/MISSED APPOINTMENTS: NEW PATIENTS: are asked to cancel their first appointment not less than 3 business days before their scheduled appointment by speaking with me or someone in my  office directly. Late cancellation of your appointment will result in a $160 fee. EXISTING PATIENTS: patients are asked to cancel at least 24 hours in advance of the scheduled appointment time. There will be a $50 late cancel charge. The charge for not showing for an appointment is $160. This charge is not payable by insurance and understand that this will be your responsibility.

 4.       CHANGE OF INFORMATION: Please provide us with any change regarding your address, phone number or insurance information as soon as possible.

 5.       MEDICATION REFILLS: Please contact your pharmacy first. They will contact my office for authorization of the refill. You must be seen regularly (usually not less than every 3 months) for proper monitoring of your condition and the medications prescribed. Controlled substances will not be filled after hours or weekends.

 6.       URINE PRESCRIPTION MONITORING: Urine prescription monitoring will be conducted on all new patients and periodically on patients taking controlled substances. Patients with drug screens positive for illicit substances will not be prescribed medications that are potentially habit forming.

 7.      AFTER HOURS CARE: In a life-threatening emergency, please call 911. For urgent non-emergency matters please call our office number (737) 825-6535 and leave a message. Calls are returned the next business day.

 8.       MEDICAL RECORDS: Request for copies of your medical records must be made in writing on a form provided by our office. Our office will respond within 15 business days to a properly completed written request. Fees: As per the rules adopted by the Texas State Board of Medical Examiners: $25.00 for the first 20 pages, $.50 cents for each page thereafter. No charge Doctor to Doctor/Hospital. Charges will be assessed for Letters and completion of forms.

 9.       TERMINATION OF NURSE PRACTITIONER/PATIENT RELATIONSHIP: The provider reserves the right to terminate the doctor/patient relationship at their discretion. Reasons for termination may include, but are not limited to: failure to comply with treatment plan, untimely unpaid balances, history of missed appointments, tampering or refusal of drug screen, verbal abuse of staff and lack of a good fit. The patient (or the patient’s legal representative) has the right to terminate treatment at his/her discretion. Upon either party’s decision to terminate the relationship, the provider will continue care for at least 30 days and recommend more appropriate resources.

10.    LEGAL AND COURT-RELATED MATTERS: Bryan Walker, MSN, APRN, PMHNP-BC does not participate in court-related matters, such as divorce or child support cases. However, if court-related work is required, the practices’ cost related to that work is the sole responsibility of the patient and/or their responsible party. These matters include but are not limited to: preparation, communication with involved parties, depositions, testimony, standby efforts, attorney fees, and other costs incurred as a direct result of the matter. (please see list of fees).

 11.    COLLECTION AGENCY: In the event of a delinquent account balance, you will be responsible for all collection fees assessed by the collection agency onto the account.

 12.    CONSENT TO TREATMENT: I consent to evaluation and treatment of myself, my minor child or ward.