Appointment lengths vary by service and visit type. Meaningful, long-lasting change takes time and best results are achieved when you commit to the process and regularly attend appointments, even when it's hard or you feel like you haven't "done the homework". Frequency of appointments depends upon your clinical status, goals, progress, and accountability needs.

Each telehealth session will have a unique meeting link, which you can access from the client portal. You can also schedule, reschedule, or cancel sessions there.

Unless you opt-out, our system will send automated email and/or text reminders, however they are sent as a courtesy and not guaranteed to show up in your inbox. It is ultimately your responsibility to keep track of appointments you schedule. Please do not reply to the automated reminders as we will not receive them.

We reserve your appointment time just for you. As such, we require at least 48 hours notice to cancel or reschedule, or else a $100 fee will be charged to the card on file. As long as you contact us before the appointment start time, we will waive the fee if we are able to reschedule for the same Mon–Fri week and you complete that appointment.

If incurring this fee is a concern for you, we recommend having your appointments early in the week (i.e. on Mon/Tues) to increase likelihood of being able to reschedule later in the same week if needed.

If you know you will be late to an appointment or will miss it altogether, please call/text us at (206) 799-7010 as soon as possible. If you are more than 15 minutes late and we haven't heard from you, we will log off and consider it a no-show.

We accept most major insurance plans. It is your responsibility to know your benefits, including whether or not we are in-network, any exclusions in your policy, and any referral or pre-authorization requirements. It is also your responsibility to provide current and accurate information for all health insurance plans you are covered under, including any updates or changes in coverage.

If we have a contract with your insurance company: We will first bill your insurance. If they determine you owe a portion of the charges (i.e. deductible/copay/coinsurance), or if they deny the claim for reasons we cannot resolve, we will charge the balance to the card on file.

If we are not contracted with your insurance company: Payment is due at the beginning of the appointment and we can either submit a claim on your behalf or give you a detailed receipt that you can submit to your insurance for possible reimbursement.

Please email billing@nabihealth.com with any insurance-related questions or updates.

I authorize Nabi Health to bill my insurance on my behalf for services rendered. I certify that all information given is correct, and authorize the release of any information to my insurance company that is required for processing of this or related claims. I authorize my insurance carrier(s), including Medicare, to issue payment directly to Nabi Health. I understand that I am financially responsible for any charges not covered by my insurance company, and agree to promptly pay any balance that is due.

Nabi Health's HIPAA Notice of Privacy Practices is available at https://www.nabihealth.com/privacy-practices.

I have received, read and understand the Notice of Privacy Practices document containing a complete description of the uses and disclosures of my health information. I understand that Nabi Health has the right to change its Notice of Privacy Practices and that I may request a current copy at any time.

Messaging through our patient portal is secure, however we cannot guarantee the complete confidentiality of any other form of electronic communication including email, telephone, voice messages, text messages, or others. If you choose to use these methods of communication, you are accepting the risk that your information may not be secure.

Messages will generally be returned within 2 business days. In most cases, discussion of clinical issues should be reserved for appointments, so depending on the nature of your message and the length of time in which it would take us to respond, we may not be able to address your questions until your next scheduled session.

I am employing the counseling services of Nabi Health so that I can obtain information and guidance about health factors within my own control (diet, nutrition, and related behaviors) in order to nourish and support my health and wellness.

When I receive nutrition counseling, I understand that this care is provided by a Registered Dietitian/Nutritionist — not a physician — and that in this role they do not dispense medical advice nor prescribe treatment. Rather, they provide education to enhance my knowledge of health as it relates to foods, dietary supplements, and behaviors associated with eating. While nutritional support can be an important complement to my medical care, I understand nutrition counseling is not a substitute for the diagnosis, treatment, or care of disease by a medical provider.

Nutritional evaluation or testing provided is not intended for the diagnoses of disease. Rather, these assessment tests are intended as a guide to developing an appropriate health-supportive program for me, and to monitor my progress in achieving my goals.

I understand that Nabi Health also offers medical services and behavioral health services. The consents for those services appear below and apply to me when I receive them.

I agree to hold Nabi Health harmless for claims or damages in connection with our work together. This is a contract between myself and Nabi Health, and I understand that it is also a release of potential liability.

Some Nabi Health services are provided by a licensed medical provider — a physician (MD or DO), a Nurse Practitioner (NP), or a Physician Assistant (PA). Medical services are different from nutrition counseling and may include taking a medical history, performing a clinical assessment, diagnosing health conditions, ordering and interpreting laboratory or other tests, developing a treatment plan, and — when clinically appropriate and permitted by law — prescribing medication.

I understand that:

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  Medical care delivered by telehealth has the same goals as in-person care but has limitations. My provider may determine that an in-person evaluation, laboratory work, or referral is necessary, and may decline to provide care or to prescribe if it cannot be done safely by telehealth.

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  Certain medications cannot be prescribed through telehealth, and all prescribing is at my provider's clinical discretion.

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  Telehealth is not for emergencies. In an emergency I will call 911.

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  No specific outcome or result is guaranteed.

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  I have had the opportunity to ask questions about my medical care.

I consent to receive medical services from a Nabi Health medical provider.

Some Nabi Health services are provided by a licensed behavioral health provider (therapist). This section describes those services and applies to me when I receive them.

Nature of services. Psychotherapy is a collaborative process that can help with emotional, behavioral, and mental health concerns. Results vary and cannot be guaranteed. Therapy can involve discussing difficult experiences and emotions, and I may at times feel discomfort. I may ask questions about my provider's approach, decline any intervention, or end therapy at any time.

Confidentiality and its limits. What I share with my therapist is confidential and protected by law. By law, there are limits to that confidentiality. My therapist may disclose information without my authorization when there is a reasonable belief of imminent risk of serious harm to myself or another identifiable person; when there is suspected abuse or neglect of a child, an elderly person, or a vulnerable adult; or when disclosure is required by court order or other law.

Crisis and safety. Telehealth behavioral health services are not an emergency or crisis service. If I am in crisis or thinking about harming myself or others, I will call or text 988 (the Suicide & Crisis Lifeline), call 911, or go to my nearest emergency room.

Telehealth suitability. My therapist will assess whether telehealth is clinically appropriate for me. If my needs require a higher level of care or in-person treatment, my therapist will discuss a referral with me.

Records. My therapist may keep psychotherapy (process) notes that receive special protection under law and are kept separate from the rest of my record.

I have had the opportunity to ask questions, and I consent to receive behavioral health and psychotherapy services from a Nabi Health licensed therapist.

I understand that my health care provider wishes me to engage in a telehealth consultation.

My health care provider explained to me how the video conferencing technology that will be used to affect such a consultation will not be the same as a direct client/health care provider visit due to the fact that I will not be in the same room as my provider.

I understand that a telehealth consultation has potential benefits including easier access to care and the convenience of meeting from a location of my choosing.

I understand there are potential risks to this technology, including interruptions, unauthorized access, and technical difficulties. I understand that my health care provider or I can discontinue the telehealth consult/visit if it is felt that the videoconferencing connections are not adequate for the situation.

I understand that it is my responsibility to be in a safe and reasonably private space during my telehealth consult. The practice will not provide services to me if I am operating a motor vehicle or if I am under the influence of drugs or alcohol. If my provider determines that a session cannot take place for these reasons, it will be considered a "late cancel" and a fee will be charged to the card on file.

I have had a direct conversation with my provider, during which I had the opportunity to ask questions in regard to this procedure. My questions have been answered and the risks, benefits and any practical alternatives have been discussed with me in a language in which I understand.

Healthie is the secure, HIPAA-compliant technology platform we use to conduct telehealth videoconferencing appointments, manage your health records, and communicate securely. You can access your appointments via the Healthie web portal or the Healthie mobile app. By signing this document, I acknowledge:

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  Healthie is NOT an Emergency Service and in the event of an emergency, I will use a phone to call 911.

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  Though my provider and I may be in direct, virtual contact through Healthie, neither Healthie nor Nabi Health provides any medical or healthcare services or advice including, but not limited to, emergency or urgent medical services.

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  Healthie facilitates videoconferencing and is not responsible for the delivery of any healthcare, medical advice or care.

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  I do not assume that my provider has access to any or all of the technical information in Healthie — or that such information is current, accurate or up-to-date. I will not rely on my health care provider to have any of this information in Healthie.

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  To maintain confidentiality, I will not share my telehealth appointment link with anyone unauthorized to attend the appointment.

By signing this form, I certify that I have read or had this form read and/or had this form explained to me; that I fully understand its contents including the risks and benefits of the procedure(s); and that I have been given ample opportunity to ask questions and that any questions have been answered to my satisfaction.

Payment is due at the time of service. Rates are available on our website and are subject to change at any time. A valid credit/debit card on file is required and will be charged for:

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  self-pay services

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  amounts your insurance tells us are your responsibility (i.e. copays, deductibles, and non-covered services)

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  late cancellation (<48 hours notice) and no show fees - $100 each

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  and any other charges you specifically authorize.

You may also keep a HSA/FSA card on file for eligible transactions. If a charge is declined, you agree to submit payment promptly and must provide a new valid card on file before additional services can be rendered. Any prompt-pay discounts will be removed if balance becomes overdue. Balances unpaid after 90 days will be sent to collections. If it becomes necessary to effect collections of any amount owed, client agrees to pay all costs and expenses, including attorney fees.

If you ever feel a charge was made in error, please contact us first. If you dispute a valid charge through your credit card company, an additional $40 fee will be incurred. Any refunds issued will be less the card processing fees we have incurred. Please direct any billing questions to billing@nabihealth.com.

By your electronic signature of this form, you authorize Nabi Health to charge your credit card for services and fees outlined above. These charges will appear on your bank/credit card statement as Nabi Health.

I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Nabi Health in writing of any changes in my account information or termination of this authorization.

I certify that I am an authorized user of this credit card and will not dispute these scheduled transactions with my bank or credit card company as long as the transactions correspond to the terms indicated in this authorization form. I acknowledge that credit card transactions could be linked to Protected Health Information.

Nabi Health uses an AI documentation tool called AI Scribe, built into our HIPAA-compliant electronic health record (Healthie), to support attentive, high-quality clinical care. AI Scribe captures the audio of your visit and produces a draft of the clinical note for your provider to review. Your provider reviews and approves every note before it is added to your chart. Nothing is finalized without your provider's review.

By signing this document, I acknowledge: (1) AI Scribe captures the audio of my visit and generates a draft clinical note for my provider's review and approval; (2) all audio and notes remain within Healthie's HIPAA-compliant infrastructure and are never sold, shared with third parties, or used to train AI models; (3) only members of my Nabi care team can access my chart; (4) I may decline the use of AI Scribe at any time without any impact on my care; (5) I may withdraw my consent at any future visit by informing my provider; (6) I may ask my provider questions about AI Scribe at any time.

Opt-in selection (retained as-is in Healthie): "I consent to my Nabi provider's use of AI Scribe during my sessions." / "I do NOT consent. My provider will document our visits manually."

Via your electronic signature (by clicking the checkbox as applicable), you voluntarily consent to sign electronically ("E-Sign") documents presented to you (including those for signature) relating to Nabi Health. You agree that Nabi Health may accept an electronic signature from you and will have the same effect as a physical "wet" signature. You may withdraw your consent at any time by emailing hello@nabihealth.com.

If you are scheduling an appointment for someone other than yourself, including:

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  A child under 18

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  Another adult (e.g., spouse, partner, family member)

they must be physically present for at least part of the appointment in order for us to bill insurance.

If the intended patient is not present, the session can still proceed as a self-pay appointment, but please note:

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  Insurance cannot be billed

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  We can only provide general nutrition education, not individualized medical nutrition therapy

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  Recommendations will be limited to what is appropriate without direct patient participation

By proceeding with your appointment booking and continuing with Nabi Health services, you acknowledge that you have read, understood, and agree to all items in this document.

This agreement will remain in effect for the duration of your care with Nabi Health.