CLINIC POLICIES

Appointments can be requested through the Athena patient portal after portal access has been enabled, by calling our office directly or by sending a secure message through DemandForce or our website (drhaylee.com or synergypdx.com)

Please note that Dr. Haylee Nye acts as a specialist for most insurance carriers, and a primary care physician (PCP) for only certain insurance carriers. Please check with your carrier and ensure that she qualifies to be a PCP for you. If not, it is recommended to establish care with a PCP. If you have a serious health problem that requires immediate attention, you should proceed to urgent care, call 911, or have someone take you to the nearest hospital emergency room. Please note the clinic has an after-hours answering service and 24-hour call shifts ONLY for patients established with Drs. Greenberg, Holtzman or Korman.

If you need to refill your prescription, call your pharmacy directly and ask if there are refills available to you. If not, the pharmacy will fax a request to our office and we will address it during business hours. Alternatively, you may send a message through the patient portal or call the clinic during our regular business hours and leave a message for your provider requesting a refill. Please do not use emergency, after hours, call service for routine refills.

Sending a message through the patient portal is the preferred method of communicating with the doctor. Use the portal messages for clarification on current treatment plan. The doctor reserves the right to request scheduling a visit either via phone or in office for issues that include either a new complaint, request for a new prescription, changes to a treatment plan, or management of a new symptom.

If you have lab work done at your visit, we will contact you to inform you of the results. Normal results will typically be sent to you via the patient portal. If you have a result that we would like to talk to you about, we will do that in person or by telephone. Please send us a message in the patient portal or call the office if you have not received information about your lab work or imaging within two weeks of the test date.

Dr. Haylee Nye sends a weekly e-newsletter via a third-party email marketing software. The newsletter will be brief and include helpful health tips, recipes, resources, and important clinic updates. By becoming her patient, your email will be added to the weekly newsletter subscription. You can opt-out anytime by simply choosing unsubscribe at the bottom of the email.

> Common diagnostic procedures: blood draws, laboratory, physical exams

> Prescription of over-the-counter and pharmaceutical medications

> Hormone replacement: prescription of exogenous hormones such as estrogen, progesterone, testosterone, cortisol, thyroid

> Medical nutrition and dietary supplementation

> Botanical medicine: teas, alcoholic tinctures, capsules, tablets, crèmes, suppositories, include low-dose toxic botanicals

> Psychological, lifestyle and hygiene counseling: diet therapy, exercise, sleep, stress management, etc

> Needles: the injection of medicines, vaccines, anesthetics, nutrients, and other substances

> Injections: including vitamins, minerals, nutritional compounds, herbs, hormones, platelet-rich plasma (PRP). Route of delivery include intravenous (IV), intra-muscular (IM), and subcutaneous (subQ).

> Homeopathic medicine: the use of highly diluted quantities of naturally-occurring plants, animals, nosodes, and minerals.

> Physical medicine: neck and extremity adjustments, joint mobilization, soft-tissue therapies and massage

All female patients must alert the doctor if they know or suspect that they are pregnant, or if they are nursing a child. Some of the therapies used could present a risk to the mother or baby. This includes calling or messaging the doctor once you learn you are pregnant, to confirm the therapies you’re using the things previously prescribed are safe to continue taking during pregnancy.

There are some rare but potential risks to treatment/procedures. Some of these risks include, but are not limited to:

> Reactions to prescribed substances (herbs, supplements, homeopathics, medications): allergic reaction, unpleasant side effects, or exacerbation of symptoms

> Inconvenience of lifestyle changes, emotional release, emotional distress, healing crisis

> Needles and injection therapies: bleeding, bruising or staining, hematoma, longstanding or permanent staining of skin (in particular with iron), muscle soreness, local pain, infection at injection site, injury to a nerve, pneumothorax (punctured lung), allergic reaction which could be life threatening.

> Physical Medicine: Bruising, sprains, fractures (most commonly ribs), disc injuries, dislocations, nerve injuries, strokes (mostly from neck adjustments).

You are welcome to ask about risks and benefits of proposed treatments at any time. You are also free to withdraw your consent and discontinue participation in treatments at any time. Please notify the provider of any past present or future medical conditions, cancer, or as any new symptom or condition arises (this includes pregnancy for women). If you notice an adverse effect from one of the components of your health plan, you should discontinue it and contact our office.

Haylee Nye ND, LLC “This Practice” values the confidence you have shown in choosing them as your health care provider. You should be aware of what services your insurance may or may not cover. As a courtesy, this Practice will bill your insurance carrier on your behalf. However, you are ultimately responsible for payment of your bill, including deductibles, co-payment/co-insurance and non-covered services as determined by your contract with your insurance carrier. Insurance cards must be presented at the time of service. Co-pays are collected at the time of service. This Practice will require payment in full for in office procedures at the time of service. Medicinary items are due in full at the time of service. Most insurance plans do not reimburse for telephone or video conferencing appointments.

You will receive a monthly statement showing activity and balances due on your account, electronically or on paper. This Practice accepts cash, MasterCard, Visa and Discover. Any remaining balance owed by you, after insurance has paid, is due in full when you receive your first bill. Payment for this Practice CANNOT be done through our patient portal. Please call the main clinic to make payment or you can mail payment. A $35 bank fee will be charged for non-sufficient funds checks. Balances not paid within 30 days will be subject to finance charges, not to exceed 18% per year.

Blood Tests and Laboratory Tests: Separate billings may be received for laboratory, anesthesiology, radiology, hospital services and "on-call" or surgical assistant providers who are involved in your care and are subject to their financial policies.

Dr. Nye may order specialty laboratory testing (hormone tests, etc) as indicated. We do not guarantee that your insurance will cover these tests in part or whole. Checking insurance coverage is the patient’s responsibility. Blood draws completed by Dr. Nye outside of a normal office visit will incur a $30 draw fee. If you wish to have your blood drawn elsewhere, let your provider know and you will be given a requisition to take to a lab of your choosing.

Patients without insurance are required to pay in full at the time of service. Self-pay patients are offered a 20% discount on all office visits and in-house laboratory testing.

As a courtesy, we request 24 hours-notice for any office appointment you will not be able to keep. Failure to provide timely notice, or neglecting to show up for your scheduled appointment(s), may result in a $50 cancellation fee and/or termination from the practice.

If you arrive late, we must still end your appointment at the scheduled time as a courtesy to patients and the doctor. If you are more than 15 minutes late, we reserve the right to cancel your appointment and charge a $50 no-show fee. We reserve the right to dismiss from this practice patients who no show or late cancel more than three times, even if fees are paid.

We are required by law to maintain the privacy and security of your protected health information. We have met many conditions in the law before we can share your information. We will not share your information other than as described here unless you give us permission in writing.

Your record MAY be shared in the following ways:
> For coordination of care; multiple healthcare providers may be involved in your treatment, directly and indirectly.

> With others that you specifically identified as having access to your health information or treatment.

> With other clinic members who are involved in your treatment. Information will only be shared on a need-to-know basis.

> To protect the public’s health, such as reporting when the flu is in the area.

> In other instances as required by law.

You have the right request your health record at any time in writing. You may be charged an administrative fee for printed copies of your record, and it can take up to 30 days for us to deliver your records.

I, and/or my dependent(s), assign directly to This Practice all insurance benefits, if any, otherwise payable to me for services rendered. I understand that I am financially responsible for all charges whether or not paid by insurance. I authorize the use of my signature on all insurance submissions. This Practice may use my health care information and may disclose such information to my insurance company and their agents for the purpose of obtaining payment for services and determining insurance benefits or the benefits payable for related services. This consent will continue indefinitely unless revoked by me in writing.