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Clinical & Patient Policies

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Effective Date: July 28, 2026

Last Updated: August 25, 2026

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Welcome to Myhre Behavioral Health & Wellness. To maintain a transparent, seamless, and high-standard care environment, please review our clinical guidelines, HIPAA privacy practices, financial policies, and patient rights below.

Quick Section Navigation

  1. Notice of HIPAA Privacy Practices

  2. Financial, Scheduling & Cancellation Policy

  3. Good Faith Estimate Notice (No Surprises Act)

  4. Specialized Clinical Protocols & Practice Scope

  5. Compliance Contact

1. Notice of HIPAA Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Notice of HIPPAA Privacy Practices

Our Legal Duty

Myhre Behavioral Health & Wellness is required by applicable federal and state law (including the Health Insurance Portability and Accountability Act - HIPAA) to maintain the privacy of your Protected Health Information (PHI). We are required to give you this notice about our privacy practices, legal duties, and your rights concerning your health information.

How We May Use & Disclose Your Protected Health Information (PHI)

  • Treatment: We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services. This includes coordination with other healthcare providers involved in your treatment.

  • Payment: We may use and disclose your PHI to bill and collect payment from you, your insurance company, or third-party payers for the services provided.

  • Healthcare Operations: We may use and disclose your PHI to support the daily operational activities of our practice, such as quality assessment, clinician reviews, compliance audits, and business planning.

  • Required by Law: We will disclose your health information when required to do so by federal, state, or local law, including mandatory reporting for imminent danger to self/others, suspicion of child/vulnerable adult abuse, or valid court orders.

Your Patient Health Rights

  • Access to Records: You have the right to inspect and receive a copy of your electronic or paper medical records.

  • Amendments: You may request that we amend health information you feel is incorrect or incomplete.

  • Accounting of Disclosures: You have the right to request a list of certain disclosures we have made of your health information.

  • Restrictions & Confidential Communications: You may request restrictions on how we use/share your PHI or request that we contact you through alternative, confidential channels.

2. Financial, Scheduling & Cancellation Policy

Financial Scheduling and Cancelltion Policy

Payment & Insurance

  • Self-Pay / Out-of-Network: Payment for services (including psychiatric evaluations, medication management, ketamine services, and wellness IV therapy) is due in full at the time of service.

  • Superbills: Upon request, we can provide itemized receipts (Superbills) for you to submit to your insurance company for potential out-of-network reimbursement.

  • Payment Methods: We accept major credit cards, debit cards, and HSA/FSA cards via our secure patient portal.

Cancellation & No-Show Policy

Your appointment time is reserved exclusively for you. If you need to cancel or reschedule your appointment, please provide us with adequate notice:

  • Required Notice: A minimum of 24 to 48 business hours' notice is required to cancel or reschedule an appointment without incurring a fee.

  • Late Cancellation / No-Show Fee: Appointments canceled with less than the required notice, or missed entirely ("no-shows"), will incur a standard fee charged to the card on file. This fee is not covered by insurance.

Prescriptions & Refills

  • Refills for ongoing psychiatric medications are handled during scheduled appointments. Please monitor your supply closely and request routine follow-up appointments before running out of medication.

  • Routine refill requests are processed during standard business hours (Monday – Friday, 9:00 AM – 5:00 PM).

3. Good Faith Estimate Notice (No Surprises Act)

Good Faith Estimate Notice

Your Right to Receive a Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act and the No Surprises Act, healthcare providers are required to provide uninsured or self-pay patients with an estimate of expected charges for non-emergency medical items and services.

  • Your Right as a Patient: You have the right to receive a Good Faith Estimate explaining the total expected cost of your healthcare services, including psychiatric evaluations, follow-up medication management visits, and wellness therapies.

  • Timeline: You will receive a Good Faith Estimate in writing at least one (1) business day before your medical service or item is scheduled. You may also ask your healthcare provider for an estimate before you schedule an item or service.

  • Dispute Rights: If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill. You may contact our practice to discuss the charges or initiate a formal dispute process through the U.S. Department of Health and Human Services (HHS).

  • For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

Protocols

4. Specialized Clinical Protocols & Practice Scope

Ketamine & Spravato® Protocols (FDA REMS Compliance)

  • REMS Monitored Observation: Under the FDA Risk Evaluation and Mitigation Strategy (REMS) program, all patients receiving Spravato® (esketamine) must remain on-site in a monitored clinical suite for a mandatory minimum of 2 hours post-administration.

  • Mandatory Transportation Policy: Patients cannot drive or operate machinery on the day of treatment. You must arrange for a designated adult or authorized transportation service to drive you home safely following your session.

  • Off-Label Psychiatric Indication: IV and IM ketamine therapies are administered under direct clinical discretion as an off-label pathway for treatment-resistant psychiatric conditions.

Compliance Contact

5. Compliance Contact

If you have questions regarding any of these clinical policies, need to request a copy of your records, or wish to discuss payment details, please contact us:

MyhreBH & Wellness

Phone: 480-621-8566

Fax: 480-625-0601

Email: info@myhrebh.com

Website: myhrebh.com

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