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NEW PATIENTS CALL:
919-929-9610
TOLL FREE:
877-876-3783
10 Convenient North Carolina Triangle Locations
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Cary
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Durham
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Mebane
Wellness Center
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CAROLINA PARTNERS IN MENTAL HEALTHCARE
CONFIDENTIALITY RELATING TO MENTAL HEALTH AND WELLNESS SERVICES
- Any confidential information you
disclose to us during treatment, or any other confidential information
we obtain while attending to you professionally, shall be held in
confidence unless you permit us to disclose such information or where
we are required to disclose such information by law.
- By signing this contract, you are
agreeing to the disclosure of confidential information where such
disclosure is necessary to obtain certification, authorization, or
payment for your treatment, or where we are required to disclose
information by the terms of our contract with your insurer or managed
care company. For example, in order for your insurance company to cover
your treatment, we may be required to periodically communicate details
of your condition and treatment with them or with your managed care
case manager. You are also expressly authorizing your provider
to pursue appeals and grievances with insurers or managed care
companies when those appeals are necessary to obtain payment for one of
your insurance claims or when your provider believes an appeal of
denial of care by your insurer is appropriate or necessary.
- By signing this contract, you are
agreeing to the disclosure of confidential information to other
physicians or therapists familiar with your case, where your provider
decides it is clinically necessary or appropriate to do so. For
example, if a physician or psychotherapist referred you to us for
evaluation and treatment, your Carolina Partners provider may
communicate with that professional about your condition and treatment.
Please tell us in advance if you want certain information withheld.
Similarly, if we refer you to another physician or therapist within
Carolina Partners for treatment, that provider will have access to your
records and may communicate with your prior provider(s).
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