Consent, Notices & Policies
Detailed information regarding your rights as a patient, including HIPAA practices, telehealth consent, and office policies.
Last Updated: January 1, 2026
HIPAA Notice of Privacy Practices
HIPAA (Health Insurance Portability and Accountability Act) of 1996 mandates data privacy and security for safeguarding patient’s medical information. Please review this notice carefully. It describes how medical information about you may be used and disclosed and how to get access to this information.
Your protected health information may be used and disclosed by your provider, our office staff, and others outside of our office that is involved in your care and treatment to provide healthcare services to you, pay your healthcare bills, support the operation of the physician’s practice, and other uses required by law.
Your Rights Concerning Health Information
A statement of your rights regarding protected health information under federal and state regulations.
Right to Inspect
You have the right to inspect and obtain a copy of your health information, including medical and billing records.
Right to Request Restriction
You may ask us not to use or disclose any part of your protected health information for treatment, payment, or healthcare operations.
Confidential Communications
You may request to receive confidential communications from us by alternative means or at an alternative location.
Accounting of Disclosures
You have a right to receive an accounting of certain disclosures we have made of your protected health information.
Right to Amend
You have the right to have your provider amend your protected health information if you believe it is incorrect.
Paper Copy
You have the right to obtain a paper copy of this notice from us at any time upon request.
Telehealth Informed Consent
Before using our service, it’s important to make sure you understand how Oasis Behavioral Health services work, including how Telehealth Care differs from visiting a traditional outpatient office.
OBHS can store a request for psychotropic medications and/or therapy services and assign your appointment request to a licensed therapist or psychiatric nurse practitioner in your state.
Non-Emergency Services: I understand that OBHS does not offer emergency or crisis visits. In an emergency, I should dial 911 or go to the nearest emergency department.
Telehealth Delivery
Use of electronic and communication technologies to deliver healthcare services when located at a different site than the provider.
Provider-Patient Relationship
A relationship is only established after clinical review and determination that telehealth is appropriate for your care.
Follow-Up Care
Importance of adhering to the treatment plan, including medication management and therapy follow-up.
Office Policies & Financial Agreement
It is the policy of Oasis Behavioral Health Services to collect all payments or insurance information at the time services are rendered. We accept Credit Cards (VISA/Mastercard), HSA, or Debit Cards.
Patient Responsibilities:
- Verify Mental Health coverage and benefits with your insurance company before your first visit.
- Provide current insurance information at the time of service.
- Payment of co-pays, co-insurance, and deductibles at the time of service.
- 24-hour business day notice for all appointment cancellations.
TCPA Communication Consent
I authorize the use of my personal information, name of my provider, and appointment times to notify me of pending appointments, results, or balances due via automated telephone or text messaging.
No Surprises Act Protections
IMPORTANT: You aren’t required to sign this form and shouldn’t sign if you didn’t have a choice of health care provider before scheduling care.
Getting care from this provider or facility will likely cost you more. If your plan covers the service, federal law protects you from higher bills for emergency care or out-of-network treatment without consent.
Appointment Cancellation Policy
We understand unplanned events happen, but when you cancel late, it affects our clinicians' schedules significantly. A fee of up to $100 is charged for no-shows or cancellations with less than 24 business hours' notice.
Filing a Complaint
If you believe your privacy rights have been violated, you have the right to file a complaint. You will not be penalized or retaliated against for filing a complaint.
Our Privacy Officer
Oasis Health Services
11285 Elkins Road, Unit J-6, Roswell, GA 30076
Phone: (470) 802-6838
Email: info@oasishealthservices.com
Contact Privacy Officer
Informed Consent Agreement
By utilizing our services, you acknowledge that you have read and understood these policies. If you have any questions, please reach out to our team before your session.