Our practice policies. Essential information for patients.

We prioritize effective communication, patient safety, and seamless administrative processes to ensure the highest standard of care. Here, you'll find important guidelines on communication protocols, location specifics, payment procedures, and ethical standards that govern our practice. We strive to maintain a respectful and confidential environment, upholding HIPAA compliance while providing comprehensive mental health services. Please review the following sections to understand our policies and how they support your care journey with us.

Our practice policies. Essential information for patients.

We prioritize effective communication, patient safety, and seamless administrative processes to ensure the highest standard of care. Here, you'll find important guidelines on communication protocols, location specifics, payment procedures, and ethical standards that govern our practice. We strive to maintain a respectful and confidential environment, upholding HIPAA compliance while providing comprehensive mental health services. Please review the following sections to understand our policies and how they support your care journey with us.

COVERAGE

Minimum frequency of sessions is every four months to maintain safety and quality of care.

Email is the preferred method of communication.

For prescription requests, please contact Dr. Trettin directly (refill requests from pharmacies are often inaccurate, outdated, or duplicates of scripts already completed).

Dr. Trettin does her best to respond to messages in a timely fashion.

For issues that cannot wait for a response, or for true emergencies, please call 911 or go to your local Emergency Room.

Dr. Trettin reserves the right to discharge patients from CPH at her discretion (e.g., because the patient needs a higher level of care or because of extensive noncompliance) and would then facilitate transition to new care.

Minimum frequency of sessions is every four months to maintain safety and quality of care.

Email is the preferred method of communication.

For prescription requests, please contact Dr. Trettin directly (refill requests from pharmacies are often inaccurate, outdated, or duplicates of scripts already completed).

Dr. Trettin does her best to respond to messages in a timely fashion.

For issues that cannot wait for a response, or for true emergencies, please call 911 or go to your local Emergency Room.

Dr. Trettin reserves the right to discharge patients from CPH at her discretion (e.g., because the patient needs a higher level of care or because of extensive noncompliance) and would then facilitate transition to new care.

LOCATION

Out of respect for neighborhood traffic and limited parking, patients are asked to drive slowly down Belmont Avenue (a one-way residential street), to try and arrive a few minutes prior to the scheduled appointment time, and to park in the driveway (not on the street).

There are two parking spaces immediately in front of the garage; patients should park on either the right side or the left side so that each of two cars can easily get in and out.

The office and waiting room are above the garage; patients should use the outdoor staircase that is to the right of the house (do not use the front door of the house).

If there is an active infectious illness, please choose or shift to a virtual visit.

Out of respect for neighborhood traffic and limited parking, patients are asked to drive slowly down Belmont Avenue (a one-way residential street), to try and arrive a few minutes prior to the scheduled appointment time, and to park in the driveway (not on the street).

There are two parking spaces immediately in front of the garage; patients should park on either the right side or the left side so that each of two cars can easily get in and out.

The office and waiting room are above the garage; patients should use the outdoor staircase that is to the right of the house (do not use the front door of the house).

If there is an active infectious illness, please choose or shift to a virtual visit.

PAYMENTS

Each patient is required to establish an account in the FreshBooks billing portal and maintain a zero balance.

Each patient is required to store a preferred Credit Card through the secure payment authorization form.

Read about how to pay an invoice via ACH

Each patient is responsible for any bank fees related to declined credit cards or returned checks.

CPH reserves the right to use a collection agency which may lead to additional fees.

Dr. Trettin will not see patients for appointments if there is any outstanding balance.

If a patient does not come or cancels within 24 hours of their scheduled appointment, 100% of the fee will be charged.

Payment is due upon receipt of invoice via credit card or electronic bank account.

Each invoice bills for the specific session or paperwork type and includes administrative/processing fee ($10/session and $5/paperwork). There is no additional credit card fee. This covers the cost of billing and related software services.

Each patient is required to store a preferred credit card through the secure payment authorization form.

CPH will charge the card on file if payment has not been made within one week of the appointment.

Each patient is responsible for any bank fees related to declined credit cards or returned checks.

CPH reserves the right to use a collection agency which may lead to additional fees.

Dr. Trettin will not see patients for appointments if there is any outstanding balance.

If a patient does not come or cancels within 24 hours of their scheduled appointment, 100% of the fee will be charged.

PAYMENTS

Practice is HIPAA (Health Insurance Portability and Accountability Act) compliant.

Confidentiality is maintained with the following exceptions:

Communication with other health care providers (if the patient agrees).

Interaction with family members or partner (if the patient agrees).

If the patient is an immediate and significant danger to herself or to others.

If Dr. Trettin learns of behaviors that may constitute legal child abuse or neglect.

If the patient’s ability to drive becomes an obvious and serious concern, the state requires that this be reported.

If Dr. Trettin is court-ordered by a judge to provide information about the treatment (every attempt would be made to preserve confidentiality).

If a law enforcement official requires information to identify or locate a suspect, fugitive, material witness, or missing person.

Research/Drug Companies:

Dr. Trettin maintains up-to-date knowledge through reading clinical literature that is peer-reviewed and non-industry biased (not funded by pharmaceutical companies).

Practice is HIPAA (Health Insurance Portability and Accountability Act) compliant.

Confidentiality is maintained with the following exceptions:

Communication with other health care providers (if the patient agrees).

Interaction with family members or partner (if the patient agrees).

If the patient is an immediate and significant danger to herself or to others.

If Dr. Trettin learns of behaviors that may constitute legal child abuse or neglect.

If the patient’s ability to drive becomes an obvious and serious concern, the state requires that this be reported.

If Dr. Trettin is court-ordered by a judge to provide information about the treatment (every attempt would be made to preserve confidentiality).

If a law enforcement official requires information to identify or locate a suspect, fugitive, material witness, or missing person.

Research/Drug Companies:

Dr. Trettin maintains up-to-date knowledge through reading clinical literature that is peer-reviewed and non-industry biased (not funded by pharmaceutical companies).

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