HealthPoint Policies

We post our policies here in order to save you time at your initial appointment, minimize paper-work, and let you know what to expect.
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Consent to Treatment
Acupuncture and related traditional Chinese medicine (TCM) therapies are among the safest medical procedures with an exceptionally low incidence of adverse outcome. It is the policy of HealthPoint Oriental Medicine (“HealthPoint”) to fully inform you of both the benefits and any possible risks of treatment.
Procedures and Products that May Apply to Treatment
  • Acupuncture (which may include electrical or manual stimulation of needles)
  • Chinese medicinal herbs
  • Tui na (Chinese therapeutic massage)
  • Cupping (application of negative pressure/vacuum cup to or along the skin); for release of muscle tension, treatment of common cold, and treatment of certain dermatological conditions.
  • Chinese medicine dietary/nutritional counseling
Unusual but Potential Risks or Side Effects of Treatment
  • Numbness near needling sites that may last a few days, minor bleeding, minor temporary local aching, discomfort, pain or hematoma (skin welt).
  • Temporary bruising or skin redness following tui-na or cupping.
  • Rare or unusual risk associated with acupuncture can include bending or breaking of needles, needle sickness, dizziness, or fainting, spontaneous miscarriage, nerve damage and organ puncture, including lung puncture (pneumothorax), remote risk of infection (HealthPoint uses sterile, disposable needles and maintains a clean and safe environment). No patient treated at HealthPoint has ever reported any of these but we believe it is ethical to inform you of all potential risks of acupuncture treatment.
  • TCM herbal medicinals and related compounded formulas, which are from plant, animal, or mineral sources and which are classified as supplements by the U.S. Food and Drug Administration, may be prescribed according to one or more methods of administration, including pills, capsules, tablets, or bulk-dispensed, home-cooked liquid decoction.
  • Unusual but possible side effects of taking herbal medicinals include, but are not limited to, unpleasant smell or taste of the bulk or granule herbs, nausea, gas, abdominal discomfort/pain, vomiting, headache, bowel changes, rashes, hives, and/or tingling of the tongue. Some herbal medicinals may be inappropriate during pregnancy. You must immediately notify your attending practitioner if you are or become pregnant and/or about any unpleasant effects while taking one or more herbal formulas.
  • TCM herbal medicinals and formulas that have been recommended are traditionally considered safe in the practice of TCM. As with many substances, some may be toxic in large doses or when consumed for a long period.
In order to ensure you receive the best TCM care and optimal treatment outcomes, it is important that we work as partners. Therefore, you agree to:
  • State all medical conditions, both physical and mental, chronic, acute or congenital, of which you are aware and agree to keep your practitioner updated as to any changes in your medical profile. There shall be no liability on the part of the practitioner or HealthPoint should you fail to do so.

  • Immediately inform your practitioner as to whether you have hemophilia, Factor V Leiden, or other bleeding disorder, and/or whether you are or will be taking any prescription or non-prescription blood thinner.

  • Immediately inform your HealthPoint practitioner regarding any pain or discomfort during the acupuncture or other TCM procedure or therapy so that either can be adjusted to your level of comfort.

  • Precisely follow any and all instructions from your provider regarding any home-care exercises or assignments, including any preparation required for herbal formulas and dosing amounts.
The practitioner is not reasonably able to anticipate and explain all possible risks and complications of treatment and you agree to rely on the practitioner’s professional judgment during the course of treatment which he thinks at the time, based upon the facts then known, is in your best interests. You should immediately consult your practitioner with any questions or concerns during or immediately following treatment.

Providing your consent to treatment acknowledges your understanding and agreement regarding all limitations of HealthPoint’s liability with regard to any form of TCM treatment, including prescription of Chinese herbal medicinals and formulas as described above and you agree that neither HealthPoint nor its practitioner shall be in any way responsible or in any way liable for any side effects or adverse outcomes as a result of acts or omissions by manufacturers. As with any medical treatment, results are not guaranteed. There may be other treatment alternatives, including treatment that might be available from or offered by a licensed physician, that separately or in conjunction with TCM health services, may be appropriate for your condition.

Any illicit or sexually suggestive remarks or advances made by you while at HealthPoint will result in immediate termination of the session, and you will be immediately liable for payment of the scheduled appointment.

As a health care provider striving to always act according to the highest ethical standards, we neither imply nor claim that the services we provide are a guarantee of cure. 

Privacy

The Health Insurance Portability and Accountability Act (HIPAA) requires health care providers to maintain the privacy of individually identifiable health information and to provide you with notice of our legal duties and privacy practices with respect to such information. HealthPoint’s privacy notice describes how medical information about you may be used and disclosed and how you can access this information.

HealthPoint will not share any of your health information with anyone regarding any course of treatment where you inform HealthPoint in advance that you will pay all related charges, except where we may be required by law to do so (and then only to the minimum extent required) or where otherwise requested by you. We must nonetheless obtain certain basic information from you in order to process your payment(s).

Where services provided to you are covered by health insurance, your insurer requires that HealthPoint provide certain information about you in order to obtain payment for services to you. With your signed consent, HealthPoint may obtain from, use, or disclose your health information and/or medical records to, other health professionals, health care organizations, and/or health insurers or other third parties for purposes of understanding your care history and, where necessary, to coordinate your care.

We gather and use the following personal and health information in several ways:
  • Information we receive from you

  • Information we receive from other health care providers

  • Information we receive from third party payers
We may use and disclose health information to inform you about recommended possible treatment aftercare options that will benefit you.

We may use information for certain activities related to business and other functions of this office including, but not limited to, scheduling and rescheduling your appointments, reminding you about appointments, responding to your inquiries, patient education and information, sending you notices about our services, etc.

We may disclose or use minimally necessary health information for other special situations such as public health activities, for averting a serious threat to health or safety, or for workers’ compensation purposes.

You authorize and/or permit HealthPoint to all of the following with regard to any and all services provided to you by/at HealthPoint:

  • Use of a records release form signed by you for all related insurance submissions, granting HealthPoint permission to release your information to your insurance company/companies.

  • Release of information according to the HealthPoint notice of privacy.

  • Copies of relevant authorizations to be used in place of the original(s).

  • Your previous and current health care providers to release your medical records to HealthPoint.

  • Assign payments by your insurance company to HealthPoint for services rendered to you at HealthPoint.
Payment responsibilities

HealthPoint collects full payment at the time of service from you for professional services rendered. This includes payment by you of all charges at the time of service when no third party guarantor/insurer is involved. Where insurance applies (see below), you are responsible at the time of service for any copayment or coinsurance that may apply or, if you have an unmet deductible balance under you health insurance policy, for the amount communicated to you by HealthPoint.

Also due the time of service are any charges for services excluded under your health insurance that you elect to receive and/or any TCM herbal formulas or products provided to you.

It is your responsibility (except where you are paying all charges out-of-pocket) to fully inform HealthPoint prior to service being rendered about all health insurance coverage(s) maintained by you or on your behalf, including auto coverage in cases involving injury from a motor vehicle accident, or workers compensation for any work-related accident. You must provide the correct spelling of your name, your group or account number, your policy ID number, your date of birth, and your current address. For auto or work-related accidents, we require the date of the accident.

If you have health insurance, your policy may or may not include an acupuncture benefit. Where HealthPoint is a contracted, in-network provider with your insurance company, HealthPoint determines whether there is an acupuncture benefit and also verifies that your insurance coverage is active prior to rendering service. We also submit claims on your behalf and you agree to assign insurance payments to HealthPoint. This does not nullify your responsibility to know and understand your coverage, including exclusions, of health services included in your policy.

In the rare instance where your health plan might retroactively determine that any or all services which you received at HealthPoint were not covered, regardless whether your health plan previously but incorrectly indicated to you or HealthPoint that such services were covered, you become responsible for those charges and agree to reimburse HealthPoint.

If you wish to cancel a scheduled appointment, we appreciate 24 hours’ notice. Cancellations due to emergencies can happen but, again, a courtesy call is appreciated.

These policies / notices will remain in effect until amended or replaced for any reason.

We recommend that you print this page for your records. Questions about these policies may be directed to your practitioner, to info@healthpointclinic.org, by calling 952-767-4910, or via U.S. post at our mailing address. HealthPoint will respond to any questions within 10 business days from the date of receipt. If one or more of our policies changes, HealthPoint will post the revised policy or policies at www.healthpointclinic.org.



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