INITIAL VISIT
Due to COVID crisis, we are trying to keep everyone safe. We will send you a link by text or email with our intake forms which includes a credit card authorization form; these MUST be signed electronically and submitted to us online. Your credit card is safely secured in a HIPPA compliant database and will only be charged  if  you do not cancel or reschedule within 48hours of your scheduled appointment time.

 

Make sure to arrive 15minutes before your scheduled appointment time. Bring along : -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.

DISABILITY/FMLA/PET  FORMS
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 $50 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.
 
CANCELLATION POLICY 
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  24hours notice to avoid a non-refundable fee of $50.

 

COLLECTIONS 
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.
 

Dr. Tambi is a caring Psychiatrist in Jacksonville, who is dedicated to helping her patient's health & wellness. Contact us now for more information >> 
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© 2020 by Bellevue Behavioral Solutions Inc.