Insurance

We serve on a wide variety of insurance plans in addition to self-payment options; but we aim to serve you! Please click here for a list of plans on which we currently serve or contact one of our offices if you do not have insurance or your plan is not listed. 

We love seeing new faces! The M.I.N.D. offers a range of services and accepts most insurances. If you have already made an appointment with one of our friendly offices, you can find additional resources such as new patient paperwork and our HIPAA release to authorize our use and disclosure of your private medical records.

Please use the link below to access our new patient documentation. Please print and completely fill out and sign the forms and bring with you to your visit.  

We ask that you arrive 10-15 minutes before your scheduled appointment time to check-in, pay your copay or prior balance, as well as complete other administrative necessities. You will be asked to fill out a medication list as well as the new patient paperwork. In the room, one of our staff members will collect necessary vitals and the doctor will be sent in for your comprehensive assessment. 

Existing patients can sign up for access to their medical records and more at www.patientfusion.com  Please know that any issues with patient fusion should be directed to them as we do not operate their site. Additionally, you may request a copy of your records in writing. Copies may be subject to a copy fee.

If you have any changes including name change, change of address, phone number, email address, or insurance, please contact our office immediately so we can update your information. Ensuring that your information is always up to date is your responsibility. 

Due to the ongoing COVID-19 pandemic, our practice currently offers the option for existing patients to follow up with their doctor via a video visit. Please click below to download the telemed consent form and submit to us via mail, fax, or email to office@malkainstitute.net 

We try to make getting your refills fast and easy. You may request refills in a number of ways:

• Call our office directly and request your medication
• Call your pharmacy and have them fax us a refill request
• Download and complete the Prescription Refill Request form and fax, mail, or email   to office@malkainstitute.net 

Always considering processing time and potential delays for all requests. For this reason we ask that you monitor your medications and request a refill when you have no less than ten (10) days of medication remaining. Last-minute refills are subject to the same processing time and potential delays but will be expedited wherever possible.

All patients receive a phone call reminding them of their appointment 48 hours before their scheduled appointment. If we cannot reach you, we will leave a voicemail and will try again 24 hours before your scheduled appointment. Any unconfirmed appointments may be automatically cancelled and charged a $50.00 service fee to allow patients on our waiting list the opportunity to come in sooner. 

If for any reason you must cancel or reschedule your appointment, please directly notify one of our offices no later than 24 hours before your scheduled appointment. It is the patient's and/or case manager/adjuster's responsibility to directly contact our office for any and all scheduling needs. A service fee of $50.00 will be charged for all missed appointments or appointments cancelled/rescheduled outside of the 24 hour time window.

Any and all dishonorable payments are subject to applicable bank fees according to the following schedule: 

• $25 fee for dishonored payment less than or equal to $50 
• $30 fee for dishonored payments $50.01-$300
• $40 fee for dishonored payments $300.01-799.99
• Dishonored payments greater than $800 subject to fee 5% of the dishonored payment

If payment is not received within 15 days of notice a $40 late fee will also be applied with additional late fees per day for 15 days. Non-payment will result in collection activity. 

All co-pays, deductibles, prior balances, and other fees are always due at the time of check-in via cash, card, or money order only. Checks are no longer accepted at any location nor by mail. Mailed checks will not be processed. If for any reason you are unable to pay, please advise our front office staff and they will be able to assist you. 

For information on prior balances or other billing questions, please call our billing department at 727-862-1135 for assistance.