By Appointment Only
Emergency appointments for established patients available throughout the week on a case by case basis.
Making An Appointment:
We ask that you make the initial call for an appointment yourself, rather than having a family member do it for you.
Please contact us via email, telephone or text to set up all new patient appointments.
Please plan to arrive 15 minutes prior to the time of your first appointment. You should bring along the following information:
Your Insurance Cards
A List of Your Current Medications (If Any)
A List of Previous Mental Health Treatment and Past Medication Treatment (If Any)
Payment for Copay or Deductible (If Any)
Although Khan Psychiatry is contracted with several insurance companies, it is your responsibility to make sure that our physicians are in your plan and to know your insurance benefits. At the time of service, you are responsible for all fees that are not covered by your insurance, including co-pays, co-insurance, deductibles and non-covered services or items received. The co-pay cannot be waived by Khan Psychiatry, as it is a requirement placed on you by your insurance carrier. Khan Psychiatry strives to be as accurate as possible in calculating your responsibility but, with so many variations in policies and fee schedules, we are not always exact. In addition to an Explanation of Benefits (EOB) from your insurance company, you may receive a statement from Khan Psychiatry for any balance due. It is your responsibility to notify Khan Psychiatry if you have a change in insurance.
For your convenience, Khan Psychiatry accepts cash, checks, and credit cards. Khan Psychiatry keeps a credit/debit card on file (HIPAA secured and encrypted) for all patients. Payments are also accepted by phone. There will be a $35 charge assessed for any check returned by your bank for any reason.
Payment is due at the time services are rendered. I may request a payment plan if I am unable to pay my balance in full at the time the service is rendered because:
I am a private pay patient;
I have insurance and I am subject to a deductible and/or co-insurance.
Khan Psychiatry offers a payment plan for the above-mentioned reasons. Half of the balance for the services rendered will be due at that time; and the remaining balance can be split into two (2) payments, with the first payment being due two (2) weeks later and the final payment two (2) weeks after that.
NON-BILLABLE FEES FOR SERVICE:
Late Cancellation fee of $75 for failing to call and cancel at least 24 hours prior to a scheduled appointment. If you are experiencing an emergency, please provide as much notice as possible to avoid being charged the Late Cancellation fee.
No Show fee of $150 for failing to call and failing to show for a scheduled appointment.
Completion/Preparation of Reports at a rate of $150.00 per hour, with a $75.00 minimum.
Disability, Insurance, Attending Physician Statements, FMLA, Letters:
Completion of forms/letters, including but not limited to: short or long term disability insurance, FMLA, life insurance, forms requesting special accommodations at work/school will be billed a rate of $30 per occurrence.
Certain forms, such as FMLA, will require an appointment prior to completion.
Payment is due prior to the completion of these forms. Once payment has been received, please allow 7-10 days for completion.
We will provide you with a copy of your medical records upon request and for a fee. You will need to sign a letter of release prior to having them copied.
Allow 30 days for any medical records request to be processed.
Copying/scanning of your file, at your request (for the purposes of sharing with your attorney, CPS, school, employer, etc.), per LA RS 40:1165.1, will be charged a $25.00 handling fee, plus $1.00 for the first 25 pages, $0.50 for pages 26-350, and $0.25 each page thereafter. Additionally, if this must be mailed, you will be responsible for the actual amount of postage.
This fee must be paid IN FULL prior to this service being rendered.