Terms and Conditions

Terms and Conditions of Eliezer Mental Health Nursing Services

Effective Date: September 30, 2023
Last Updated: September 16, 2026

Welcome to Eliezer Mental Health Nursing Services ("Eliezer Health," the "Clinic," "we," "our," or "us"). These Terms and Conditions ("Terms") describe the terms applicable to your use of our psychiatric and mental health services, including telehealth services.

By accessing, scheduling, or receiving services from Eliezer Mental Health Nursing Services, you ("patient" or "you") acknowledge and agree to these Terms, together with applicable consent forms, treatment agreements, privacy notices, and Clinic policies.

1. Professional Services

Eliezer Mental Health Nursing Services provides psychiatric and mental health services through qualified healthcare professionals, including Board Certified Psychiatric Mental Health Nurse Practitioners.

The primary focus of the practice is the adult population, generally ages 18–65.

Services may include:

Diagnostic psychiatric evaluations and consultations;
Medication management;
Individual psychotherapy;
Treatment planning and follow-up care;
Coordination and collaboration with other healthcare professionals; and
Referrals to specialists or a higher level of care when clinically appropriate.

Treatment is comprehensive, collaborative, evidence-based, and individualized. Developing an appropriate treatment plan may require multiple visits, review of relevant medical information, and coordination with other providers.

With your consent and as permitted or required by law, the Clinic may communicate with your therapist, primary care physician, school, pharmacy, hospital, or other healthcare providers when appropriate for treatment and continuity of care.

The success, duration, and course of treatment depend on numerous factors, including the nature and severity of the condition, adherence to the treatment plan, and patient participation.

Eliezer Mental Health Nursing Services does not provide forensic services, including custody evaluations, competency or ability-to-stand-trial evaluations, or similar forensic assessments.

2. Telehealth Services

The Clinic provides psychiatric services through telehealth when clinically appropriate and permitted by applicable law. Telehealth may include secure video consultations, telephone communications, secure patient portals, and other approved electronic communication technologies.

Telehealth has benefits as well as limitations. Because the provider and patient may not be physically present in the same location, telehealth may not permit the same physical assessment available during an in-person examination.

Depending upon your symptoms, medical history, medications, location, applicable law, or other clinical considerations, an in-person evaluation or examination may be required.

If telehealth is not clinically appropriate for your condition, we may recommend or require in-person treatment, referral to another healthcare professional, emergency evaluation, hospitalization, or another appropriate level of care.

Telehealth services are not a substitute for emergency medical or psychiatric care.

3. Patient Eligibility and Location

To receive services, patients generally must:

Meet the Clinic's applicable age and clinical eligibility requirements;
Be physically located in a jurisdiction in which the treating provider is authorized to provide the requested service at the time care is delivered;
Provide accurate identifying, contact, medical, and location information;
Have appropriate technology and internet or telephone access for telehealth appointments; and
Comply with applicable Clinic treatment and safety policies.

Your provider may ask you to confirm your physical location at the beginning of a telehealth appointment.

Certain services, particularly prescribing controlled substances, may be subject to additional federal or state requirements based on your location.

4. Appropriate Level of Care

The Clinic is committed to providing an appropriate level of care based on each patient's individual needs and condition.

The appropriate level of care will be determined through clinical assessment, which may include consideration of symptoms, psychiatric and medical history, medications, safety concerns, treatment response, and overall health status.

Depending on the assessment, recommendations may include psychotherapy, medication management, consultation with another healthcare professional, in-person evaluation, specialist referral, intensive outpatient or other structured treatment, hospitalization, or another higher level of care.

The Clinic may determine that telehealth or outpatient psychiatric treatment is not sufficient or appropriate for a patient's needs.

5. Appointments, Cancellations, and No-Shows

Appointment times are reserved specifically for each patient.

The Clinic maintains a 24-hour cancellation policy. Patients must provide at least 24 hours' notice when canceling or rescheduling an appointment. For Monday appointments, cancellations must be made by Friday at 1:00 p.m.

As a courtesy, the Clinic will not charge a cancellation or no-show fee for the first late cancellation or no-show. After the first occurrence, the following fees will apply to appointments canceled with less than 24 hours' notice or missed without notice:

Follow-Up Appointment: $100 cancellation/no-show fee
Initial Psychiatric Evaluation: $200 cancellation/no-show fee

Late-cancellation and no-show fees are generally not billable to or reimbursable by insurance and are the patient's responsibility.

Appointment reminders may be provided as a courtesy by telephone, email, SMS, or another communication method. Receiving or failing to receive a reminder does not relieve the patient of responsibility for keeping track of scheduled appointments.

Multiple missed appointments or late cancellations may result in discontinuation of treatment and referral to another provider, subject to applicable continuity-of-care requirements.

Appointments may be scheduled through:

Website: www.eliezerhealth.org/booking
Email: admin@eliezerhealth.org
Phone: (213) 377-0012

6. Professional Fees for Cash-Pay Patients

Unless otherwise communicated to you, current cash-pay professional fees include:

Complimentary 15-minute initial consultation: Free
Initial Psychiatric Evaluation (50–60 minutes): $350
Routine Follow-Up Appointment (25–30 minutes): $200
Extended Telephone Calls (over 15 minutes): $50 per additional 15 minutes

A comprehensive initial psychiatric evaluation may require more than one visit before a diagnosis, treatment plan, or recommendation can be completed.

Fees may be updated from time to time. Patients should confirm current fees with the Clinic when scheduling services.

7. Administrative Fees, Forms, and Letters

Patients may request completion of administrative forms, supporting documentation, and letters when clinically appropriate. Completion of any form or letter is subject to the provider's clinical judgment and does not guarantee that a particular certification, accommodation, disability determination, or other requested recommendation will be made.

Requests may include:

FMLA documentation;
Short-term disability forms;
Emotional Support Animal (ESA) letters;
Workplace or school accommodation letters;
Jury duty letters;
Insurance-related paperwork;
Excuse letters;
Return-to-work documentation; and
Other administrative or clinical documentation.

Please generally allow 5–7 business days for completion. More extensive documentation may require additional processing time.

Administrative Fee Schedule

Unless otherwise communicated to you, the following administrative fees may apply:

FMLA and Short-Term Disability Forms: $50–$150. These forms may require a detailed review and description of relevant clinical history, functional limitations, treatment history, and treatment plans. The applicable fee will depend on the complexity and extent of documentation required.
Emotional Support Animal (ESA) Letters: $50–$100. When clinically appropriate and within the provider's scope of practice, preparation of an ESA letter may be subject to an administrative fee based on the assessment and documentation required. Payment of a fee does not guarantee that an ESA letter will be issued.
Simple Accommodation or Jury Duty Letters: $25–$50. Brief letters addressing clinically supported accommodations, work or school needs, or jury duty may be charged according to the complexity and amount of documentation required.
Other One-Page Forms: $30 per form.
Additional Pages: $10 per additional page, when the standard per-page fee applies rather than one of the service-specific fees listed above.

Fees for administrative services are generally not billable to or reimbursable by insurance and are the patient's responsibility, subject to applicable law and insurance requirements.

Applicable fees are generally not billable to insurance and are the patient's responsibility.

For Medicare or Medi-Cal patients, fees may apply to form completion when the requested service is not a covered benefit and is not related to a covered clinical service, subject to applicable law.

8. Payments and Insurance

Payment is expected at the time of service, subject to applicable insurance arrangements.

The Clinic may accept insurance, cash payments, and credit/debit cards.

Insurance coverage varies significantly between plans. The Clinic cannot guarantee that a particular service will be covered or reimbursed by your insurance company.

You are responsible for confirming:

Your insurance eligibility and benefits;
Whether the Clinic or provider is in-network or out-of-network;
Applicable deductibles, copayments, or coinsurance;
Telehealth coverage;
Coverage for specific psychiatric services; and
Any authorization or referral requirements.

You are responsible for fees not covered by your insurance unless prohibited by applicable law or your insurance agreement.

Accounts may be considered overdue after 60 days if no payment arrangement has been established. Severely past-due balances may be referred for collection as permitted by law, and allowable collection costs may be added.

Patients experiencing financial difficulties are encouraged to contact the Clinic to discuss available arrangements.

For billing questions, please contact the Clinic.

9. Prescription Refills and Medication Management

Medication management requires appropriate clinical monitoring and follow-up.

Patients are encouraged to request prescription refills with sufficient time before their medication supply is exhausted and to keep scheduled follow-up appointments.

Please generally allow:

Two (2) full business days for prescriptions that can be transmitted or called into a pharmacy; and
Five (5) full business days when a mailed prescription is required.

Depending on the medication and clinical circumstances, a follow-up appointment or telephone consultation may be required before a prescription can be renewed.

Patients should not change, discontinue, increase, decrease, or otherwise modify prescribed medication without first discussing the change with their healthcare provider.

Abrupt discontinuation of some medications may cause serious adverse effects. Patients should inform the Clinic of medication changes made by other healthcare providers.

10. Controlled Substance Policy

Eliezer Mental Health Nursing Services follows applicable federal and state laws and professional standards regarding controlled substances, including stimulants, benzodiazepines, and other medications with misuse, dependence, or diversion potential.

Controlled substances are prescribed only when clinically indicated as part of an individualized treatment plan and following an appropriate psychiatric evaluation.

An in-person evaluation may be required when necessary for clinical safety or compliance with applicable federal or state requirements.

Patients receiving controlled substances may be required to enter into a separate Controlled Substance Treatment Agreement.

Patient responsibilities may include:

Taking medication exactly as prescribed;
Not increasing, decreasing, sharing, selling, or otherwise diverting medication;
Safely storing controlled medications;
Attending required follow-up appointments;
Promptly reporting adverse effects or medication concerns;
Completing periodic drug screening when clinically required; and
Complying with other monitoring requirements.

Controlled-substance prescriptions may be reviewed through applicable state Prescription Drug Monitoring Programs (PDMPs).

Prescriptions are intended to use the minimum clinically appropriate dose and duration. Refills may depend upon follow-up appointments and clinical reassessment.

Controlled-substance prescribing requirements may vary depending on the patient's physical location and applicable federal and state law. The Clinic may require an in-person assessment or referral to a local healthcare professional when necessary.

Failure to comply with a Controlled Substance Treatment Agreement or evidence of medication misuse or diversion may result in discontinuation of controlled-substance prescribing and referral for alternative or additional treatment.

For a suspected overdose or severe medication reaction, call 911 or seek immediate emergency medical attention.

11. Confidentiality and Privacy

Communications between patients and their mental health providers are generally confidential and will not be disclosed without appropriate authorization except when disclosure is permitted or required by law.

Examples may include circumstances involving:

Suspected child or dependent-person abuse or neglect when reporting is legally required;
A legally recognized threat of imminent or serious harm to the patient or another person;
A valid court order or other legally required disclosure; or
Other disclosures authorized or required by applicable law.

Information necessary for insurance billing or reimbursement may be disclosed in accordance with applicable authorization and privacy requirements.

Healthcare professionals may also consult with other professionals regarding patient care when clinically appropriate. When possible, identifying details are limited unless disclosure is authorized or otherwise permitted by law.

For additional information concerning our privacy practices, please review our Privacy Policy:

https://www.eliezerhealth.org/privacy-policy

Applicable patients will also be provided or offered the Clinic's Notice of Privacy Practices.

12. Recording of Sessions

Audio or video recording of clinical sessions is not permitted without prior agreement and authorization.

If there is a specific clinical or other legitimate reason to record a session, the recording must be discussed and mutually agreed upon before it occurs.

Unauthorized recording may constitute grounds for termination of the therapeutic relationship, subject to applicable law and continuity-of-care obligations.

13. Electronic Communications

The Clinic uses secure communication methods whenever reasonably available to protect patient privacy and comply with applicable privacy requirements.

Email and ordinary SMS/text messaging have inherent privacy and security limitations and should not generally be used to transmit sensitive clinical or health information.

By providing a working telephone number or email address and providing applicable consent, you authorize the Clinic to communicate with you regarding administrative matters such as:

Appointment scheduling and reminders;
Billing;
Follow-up and general office communications; and
Other administrative matters related to your care.

Clinical discussions, treatment-related questions, and sensitive health information should generally be communicated during scheduled appointments or through

Clinic-approved secure communication methods or patient portals.

Electronic communications and voicemail are not appropriate for emergencies and may not be continuously monitored.

14. Telephone Communications

The Clinic can be reached at (213) 377-0012.

Brief telephone communications related to care are generally not charged. Longer or more involved telephone consultations may be billed according to the Clinic's professional fee schedule.

Routine calls are generally returned within 24–48 hours during the workweek. Response times may vary depending on clinical responsibilities, weekends, holidays, provider availability, and the nature of the message.

Do not leave urgent or emergency messages through voicemail or email after hours. These communication channels may not be monitored on weekends, holidays, or after 5:00 p.m. on weekdays.

15. SMS Consent and Communications

When you separately consent to receive SMS/text messages from Eliezer Health, you may receive communications such as:

Appointment reminders;
Follow-up messages;
Billing inquiries; and
Promotional messages or offers, when separately applicable and permitted.

Phone numbers and SMS consent information obtained as part of the SMS consent process will not be shared with third parties for marketing purposes.

Message Frequency: Message frequency may vary depending on the nature of the communications.

Message and Data Rates: Standard message and data rates may apply depending on your mobile carrier and service plan.

Opt-In: You may opt in to SMS communications by submitting the applicable online form or otherwise providing the requested consent.
Opt-Out: You may opt out at any time by replying STOP to an SMS message or by contacting the Clinic and requesting removal from SMS communications.

Help: For assistance, text HELP to +1 (213) 377-0012 or contact admin@eliezerhealth.org.

Participation in SMS communications is optional. If you do not wish to receive SMS messages, do not select the SMS consent option on applicable forms.

For additional information, please review:

Terms and Conditions: https://www.eliezerhealth.org/terms-and-conditions

16. Medical Records Requests

Requests for copies of medical records and certain disclosures of records must comply with applicable authorization and privacy requirements.

Requests for medical records, forms, and letters may require written authorization or consent.

Please generally allow 5–7 business days for processing forms and letters. Medical-record requests will be processed within timeframes required by applicable law.

Applicable processing or administrative fees may be charged when permitted by law.

17. Crisis and Emergency Management

Eliezer Mental Health Nursing Services is not an emergency service.

If you are experiencing a medical or psychiatric emergency, believe you may harm yourself or someone else, have experienced a serious medication reaction or overdose, or otherwise require immediate assistance:

Call 911 or go to the nearest emergency department.

For a mental health crisis or emotional distress requiring immediate support, you may also call or text the 988 Suicide & Crisis Lifeline at 988.

Do not rely on voicemail, email, SMS, the website, or routine telehealth communications for emergency assistance because these communication channels may not be monitored continuously.

18. Hospitalization and Patient Safety

If your clinical condition requires hospitalization or another higher level of care, the

Clinic may recommend that you seek such care.

When appropriate and permitted by applicable privacy laws and authorizations, the Clinic may coordinate with hospital personnel and other healthcare professionals to facilitate continuity between inpatient and outpatient treatment.

Following hospitalization, your outpatient treatment plan may need to be reassessed before routine treatment resumes.

19. Discontinuation and Termination of Treatment

Whenever reasonably possible, discontinuation of treatment should occur through a thoughtful discussion between the patient and treating provider.

If you discontinue treatment without notifying the Clinic, the therapeutic relationship may be considered terminated 90 days after your last visit, unless you have an appointment scheduled for a later date or other arrangements have been made.

The Clinic may also discontinue or terminate services for reasons including, as applicable:

Repeated missed appointments;
Failure to comply with treatment or safety policies;
Disruptive or inappropriate behavior;
Failure to satisfy financial obligations;
Medication misuse or diversion;
A determination that the Clinic cannot provide the appropriate level of care; or
Other circumstances in which continued treatment is no longer clinically or operationally appropriate.

When clinically and legally appropriate, the Clinic will discuss discontinuation with the patient and may provide referrals or information concerning alternative care.

Any outstanding financial obligations remain due following termination, subject to applicable law.

20. Patient Responsibilities

To support safe and effective treatment, patients are expected to:

Provide accurate and complete health and medication information;
Inform the provider about medications prescribed by other healthcare professionals;
Follow agreed-upon treatment and medication instructions;
Attend scheduled appointments and provide timely notice when cancellation is necessary;
Participate in recommended monitoring and follow-up;
Notify the Clinic of significant changes in symptoms or health status;
Maintain current contact and insurance information; and
Seek emergency assistance when immediate care is required.

Patients should have their medication information available for their initial appointment and should provide a valid ID and applicable insurance information as requested.

21. Intellectual Property and Clinic Materials

Educational materials, forms, treatment resources, website content, and other proprietary materials provided by the Clinic remain the property of Eliezer Mental Health Nursing Services or their respective rights holders unless otherwise stated.

Such materials may not be reproduced, publicly distributed, sold, or used commercially without appropriate authorization.

Nothing in this section restricts a patient's lawful rights to access or use their own medical records or information.

22. Changes to These Terms

Eliezer Mental Health Nursing Services may amend these Terms and related practice policies from time to time.

When appropriate, updated Terms may be posted on our website or otherwise communicated to patients. Your continued use of services following an update may be subject to the updated Terms to the extent permitted by applicable law.

Changes to these Terms do not replace any separate consent that applicable law requires the Clinic to obtain.

23. Governing Law

Services provided by Eliezer Mental Health Nursing Services are subject to applicable federal law and the laws and professional requirements of the jurisdiction in which care is provided.

The Clinic maintains offices in California and Nevada, and services provided to patients in those states may be subject to different state-specific requirements.

Any dispute-resolution provision, including arbitration or mediation, will apply only to the extent established by a valid agreement and permitted under applicable law.

24. Contact Information

For questions concerning these Terms, appointments, billing, administrative matters, or Clinic services, please contact:

Eliezer Mental Health Nursing Services

California Office

355 S. Grand Ave, Suite 2450
Los Angeles, CA 90071

Nevada Office

2300 West Sahara Avenue, Suite 800
Las Vegas, NV 89102

Phone: +1 (213) 377-0012
Fax: +1 (213) 377-0044
General Email: info@eliezerhealth.org
Administrative Email: admin@eliezerhealth.org

Website: https://www.eliezerhealth.org

Terms and Conditions:
https://www.eliezerhealth.org/terms-and-conditions

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By accessing or receiving services from Eliezer Mental Health Nursing Services, you acknowledge that you have been provided access to these Terms and Conditions and understand that additional informed-consent forms, privacy notices, medication agreements, or other treatment-specific documents may apply to your care.