Prescription refills: To ensure continuity of care, prescription refill requests must be submitted at least one week before your medication runs out. Medication refill is usually provided during a routine follow up visit.
Medication refill requests following a missed appointment will incur a $25 refill fee.
Requests for paperwork:
Fees for completing forms or paperwork vary depending on the type and complexity of the request.
Examples include:
- FMLA paperwork
- School forms
- Employment forms
- Insurance paperwork
Please send a secure message via the client portal for current fees and estimated completion times.
Disability Evaluations
Cross My Heart Wellness does not perform disability evaluations or complete disability determination paperwork.
Phone Consultations
Clinical phone consultations lasting more than 15 minutes outside of a scheduled appointment will incur a $50 consultation fee.
Payment & Insurance
Cross My Heart Wellness is in-network with many major insurance plans and also welcomes self-pay patients.
Payment, including applicable copays, coinsurance, deductibles, and self-pay balances, is due at the time of service. We accept:
- Credit and debit cards
- Health Savings Accounts (HSA)
- Flexible Spending Accounts (FSA)
Patients are responsible for:
- Verifying that Cross My Heart Wellness participates with their insurance plan.
- Understanding their insurance benefits, coverage, copays, deductibles, and coinsurance.
- Paying any patient responsibility at the time of their appointment.
- Providing current and accurate insurance information before each visit.
Insurance coverage varies by plan. We encourage patients to contact their insurance company before scheduling an appointment to verify eligibility and mental health benefits.
By scheduling an appointment with Cross My Heart Wellness, you acknowledge that you are responsible for any charges not covered by your insurance plan.
Cancellations:
Appointment Scheduling & Cancellation Policy
We understand that schedules can change. If you need to cancel or reschedule your appointment, we respectfully request at least 24 hours’ notice. This allows us to offer your appointment to another patient in need of care.
Appointments may be canceled by sending a secure message through the client portal. Please DO NOT leave a voicemail.
Missed appointments or cancellations made with less than 24 hours’ notice will incur the following non-refundable fees:
- Initial psychiatric evaluation: $150
- Follow-up appointment: $100
Patients who miss two consecutive appointments or demonstrate a pattern of repeated missed appointments or late cancellations may be required to discuss an alternative treatment plan before scheduling future appointments. Cross My Heart Wellness reserves the right to discontinue the provider-patient relationship and discharge patients from the practice due to repeated missed appointments, excessive cancellations, or noncompliance with practice policies.
Privacy & HIPAA
Your privacy is important to us.
Cross My Heart Wellness complies with the Health Insurance Portability and Accountability Act (HIPAA) and applicable Ohio privacy laws to protect the confidentiality and security of your health information.
For additional information, please review our complete HIPAA Notice of Privacy Practices click here
Medical Emergencies & Crisis Resources
Cross My Heart Wellness is not an emergency or crisis service.
If you are experiencing:
- A medical emergency
- Thoughts of suicide or self-harm
- Thoughts of harming others
- Any life-threatening psychiatric emergency
Call 911 immediately or go to your nearest emergency department.
For confidential 24/7 crisis support:
988 Suicide & Crisis Lifeline
- Call or text 988
- Visit 988lifeline.org
