Terms and Conditions
Welcome to SpiritualMD (DBA of Wholistic Healing Arts Mind Body Spirit, LLC) – wholistic wellness with Dr. Ipar Zeynep Demir. This page contains important information about our terms and conditions. All new clients will be sent a PDF version of these policies, and they must read and sign that agreement before any treatments can begin at Spiritual MD. Once signed that document will represent an agreement between the client and Spiritual MD. We can discuss any questions you have when you sign the form or at any time in the future, please reach out to us here. Please note that our policies are subject to change at any time and you can request to see our current policies at any time.
Rescheduled, Canceled or Missed Appointments: If an appointment is rescheduled or canceled less than 48 hours before your appointment time, you will be charged the full session fee. The IntakeQ Client Portal should be used to make any changes to your appointment.
Late to Appointment: If you are late for your appointment, you will only be seen for the remainder of the time left in your appointment time slot. Should you arrive more than 10 minutes late for a session, you will be asked to reschedule so that an appropriate amount of time and attention may be devoted to your care. You will still be charged for the full session.
Medication Refills: There is a $200 charge to refill a prescription between appointments.
Prescription History and Controlled Substances: We routinely review the entire prescription history for all clients, including prescriptions for controlled substances. Refills for controlled substances always require an appointment. If you lose a bottle of your controlled substance medication, we will provide one refill. However, if it happens again, a refill will not be provided under any circumstances.
Consultations: Our physician is seeing you for informational/consultative purposes only and this does not establish a doctor-patient relationship. You are responsible for having a primary clinician or psychiatrist who will provide any necessary medical or psychiatric treatment, including ordering of prescriptions or labs. Our consultations are not considered treatment and no ongoing relationship with the physician will be established. Our consultations are not intended to replace the relationship with your primary clinician or psychiatrist.
Intake Forms: Prior to the initial consultation, all clients must complete and submit their Holistic Psychiatric Consultation form at least 48 hours before their requested appointment time. If you do not, we will cancel your appointment and you will not receive another one. We will keep 50% of the session fee.
Credit Cards and Payments: You are required to have a valid, active credit card on file at all times. We store your credit card information securely online and you can update it at any time. Payment is due prior to your appointment. For initial evaluations, we require payment upfront to book your appointment. For all other sessions, your credit card will be processed the day of your appointment, unless you have paid in advance. Your credit card will be automatically processed whenever a service is rendered, including for late fees, administrative fees, or crisis intervention services. We reserve the right to disclose information about your attendance and/or cancellation to your credit card company if you dispute a charge. All credit card charges include a non-refundable cancellation fee.
Health Insurance: We are "out-of-network" and do not contract with any health insurance providers. You can request a reimbursement form or “superbill” which you can present to your health insurance provider in order to seek partial reimbursement for services rendered. Reimbursement is not a guarantee, and it is a matter between you and your health insurance provider. We do not submit documentation to health insurance providers and we do not write progress notes that necessarily conform to their documentation requirements. If your health insurance provider requires a prior authorization, we can submit these for you, but you will be charged for the administrative time at the rate of $500/hour.
Legal Testimony: We require that you employ independent forensic psychiatric services should you require a legal evaluation or testimony.
Administrative Fees: We charge a fee of $500/hour for all routine administrative work outside of your appointment time, which exceeds more than 5 minutes in between appointments and takes place during our normal business hours. This includes: phone calls (to you, providers or family and friends); responding to emails or direct messages; scanning or faxing; document preparation for a third party (attorney, employer, etc.); medical record handling; completion of any paperwork/forms; and obtaining any prior authorizations for medications or treatment. Time is billed in quarter-hour increments and payment will automatically be processed via your credit card on file.
Routine Concerns Between Visits: If you have a routine, non-clinical question, please email our Coordinator at info@spiritualmd.com. For routine clinical questions or concerns, our physicians are available to their clients via the IntakeQ Client Portal. Routine emails and messages are read and received during our psychiatrists' normal business hours, and will be returned within 24-72 business hours. If you need to discuss a clinical concern such as side effects, changing or increasing a medication, or a medical concern, this will need to be discussed with your physician during a session.
Urgent or Emergency Situations: If you have an urgent or emergent clinical concern, please call your physician at (901) 249-9991 and leave a detailed message describing your situation. Our physician will get back to you as soon as possible. If you cannot wait for a call back, or you are feeling acutely suicidal or homicidal or are in any other life-threatening emergency situation, please call 911 immediately or go to your nearest Emergency Room. We charge a fee of $1800/hr (urgent care service) for any and all urgent/emergent services (including phone calls, ordering medications, etc.) outside of our normal business hours.
Email Communication: While our physicians are available to their clients via email, please be aware that you should not use email for complicated medical and/or psychiatric concerns or urgent/emergency situations. While our physician use encrypted emails, if you elect to communicate with our physician via email regarding your personal psychiatric and medical concerns, you are agreeing to accept the inherent security risk of this medium.
Client Portal: We use the IntakeQ Client Portal for our intake process, forms, confidential communication, Wellness Plans, sending and receiving documents, and scheduling or cancelling appointments. All communication and messages sent in the portal will become part of your medical record and should only be used for routine matters.
Text Messaging: Please do not send text messages to your physician. Your physician will not respond to texting and any message received becomes a part of your legal medical record.
Blogs and Social Media: Our physicians do not accept friend or contact requests from current or former clients on any of their personal social networking sites. Your physician will not follow or like any client on any social networking sites. You are welcome to like or follow the Spiritual MD social media sites. However, please keep in mind that these sites are for informational purposes and should NEVER be used for any clinical reasons.
Online Video Sessions: Our physicians offer online video sessions (telepsychiatry) for all types of sessions. Keep in mind that not all issues can be effectively addressed via online video sessions. Our physicians reserve the right to refuse online video sessions for any client for any reason, at any point during treatment. Please see our Telepsychiatry Consent Form for more details.
Discharges: We reserve the right to discharge clients at any time (including after the initial intake appointment) for any reason with 30 days notice. Reasons for discharging a client includes: not being a good fit for our level of care, violation of our policies, threatening or aggressive behavior, missing appointments and not communicating with us for over 90 days.
Education and Training: We are an educational organization and we may discuss details of your case for educational and training purposes. We always follow HIPAA guidelines and maintain strict client confidentiality. Information is de-identified whenever possible. In addition, your physicians may invite students (such as fellows, residents, medical students, student nurses and other authorized individuals who are enrolled in professional training programs) and other Spiritual MD physicians to observe or record sessions with clients. We will always ask permission and obtain consent in advance before inviting anyone to join or record a session.