Due to the COVID crisis, we have set up procedures to keep our patients and staff safe. Below is the link to our new patient paperwork. These have to be completed before an appointment is confirmed. Please complete these forms entirely and then call our office at 904-886-0361 for your appointment to be scheduled. Our dedicated staff will be more than happy to guide you in case you need any assistance.
Make sure to arrive 15 minutes before your scheduled appointment time.
Appropriate identification and Insurance card.
Current medications in their original prescribed bottles
Referral form if required by insurance
Significant medical or surgical history
Appropriate payment method: Cash, visa debit/credit card, Amex, HSA. No checks. Payments are due in full at the time service is provided.
We do not complete social security, FMLA, short-term or long-term disability paperwork. In the case where Dr. Tambi deems it medically necessary to complete these forms, we do charge an administrative. We also do not write letters recommending pets as emotional support or service animals or for travel. Call our office for our rates and fees.
LATE ARRIVALS/NO SHOW POLICY
We strive to see patients at their scheduled appointment time. Therefore, if you are more than 15 minutes late, you will need to reschedule your appointment. You will be charged a non-refundable $75 missed appointment fee. Late arrivals, rescheduling, and no show up to three times in a 12month for established patients are subject to termination from the practice.
At Bellevue Behavioral Solutions, we try to make it as easy as possible to set up an appointment in the shortest time possible. We do request you to take your appointment time seriously. If for any reason, you cannot keep your appointment please notify us at least 48 hours before the scheduled appointment time for new patients or the full amount which is non-refundable ( amount allowed by your insurance plan for that visit) will be charged to your credit card. For established patients, we require 24 hours notice to avoid a non-refundable fee of $50.
Balances due to incorrect information supplied to the office denied claims, incomplete/ invalid/denied card transactions will be considered in default and will be forwarded to a collection agency after 60 days of 1st billing statement without notice. A 35% service fee will be added to all balances forwarded to collections.