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Nabi

Patient Financial Agreement & Practice Policies

Welcome to Nabi Health! We're excited to work with you and committed to providing high-quality, individualized nutrition care. Please read this document carefully as part of your onboarding process.

By proceeding with your appointment booking, you acknowledge that you have read, understood, and agree to all terms outlined in this document.

Part of Your Onboarding Process

This document is part of your patient onboarding. After reading these policies, you'll be able to:

  • Complete your appointment booking

  • Access your patient portal

  • Begin your nutrition care journey

Questions? Contact us at hello@nabihealth.com or (206) 799-7010

Nutrition Appointments

The initial appointment is typically 85 minutes, and follow-up sessions are 55 minutes.

Meaningful, lasting change takes time. Best results come when you commit to the process and attend appointments consistently — even when it feels hard or you haven't "done the homework."

Appointment frequency depends on your goals, progress, and accountability needs. Most clients start with visits every 1–3 weeks and taper down over time.

Each telehealth session has a unique meeting link accessible through the client portal, where you can also schedule, reschedule, or cancel sessions.

Unless you opt out, you'll receive automated email and/or text reminders as a courtesy. These are not guaranteed, so please track your appointments independently.

Do not reply to automated reminders, as responses are not received.

Canceling and Rescheduling

Your appointment time is reserved just for you.

Please provide at least 48 hours' notice to cancel or reschedule, or a $100 fee will be charged to the card on file.

If you contact us before the appointment start time and we can reschedule you within the same Monday–Friday week, we'll waive the fee once that appointment is completed.

To make this easier, we recommend booking earlier in the week (Monday/Tuesday).

If you'll be late or need to miss your appointment, please call or text (206) 799-7010 as soon as possible.

If you're more than 15 minutes late and we haven't heard from you, it will be considered a no-show.

Health Insurance

We accept most major insurance plans. It's your responsibility to understand your coverage, including:

  • Whether Nabi Health is in-network

  • Exclusions or limitations in your plan

  • Any referral or pre-authorization requirements

  • Updates or changes to your insurance information

If we are in-network

We will bill your insurance first. Any patient responsibility (copay, coinsurance, deductible, or denied claims) will be charged to the card on file.

If we are out-of-network

Payment is due at the time of service. We can either:

  • Submit the claim on your behalf, or

  • Provide a detailed receipt for possible reimbursement

For insurance questions or updates, please email billing@nabihealth.com.

Insurance Assignment and Release

I authorize Nabi Health to bill my insurance for services rendered and to release any necessary information to process claims.

I authorize payment directly to Nabi Health and understand I am responsible for charges not covered by my insurance.

I agree to promptly pay any remaining balance.

Acknowledgment of HIPAA Privacy Practices

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

I acknowledge that I have received, read, and understand this document, and I am aware that Nabi Health may update it at any time. I may request a current copy as needed.

Electronic Communication

Messages sent through the patient portal are secure.

However, confidentiality cannot be guaranteed for other methods such as email, voicemail, or text.

By using these methods, you accept the associated risks.

Messages are generally returned within 2 business days.

Clinical discussions should typically occur during sessions, so your provider may ask to address questions at your next appointment.

Informed Consent for Nutrition Services

I am seeking nutrition counseling from Nabi Health to receive guidance on diet, nutrition, and related behaviors that support my health and wellness.

I understand that:

  • Providers at Nabi Health are Registered Dietitians/Nutritionists, not physicians.

  • They do not diagnose or prescribe treatment but provide education and support.

  • Nutrition counseling complements medical care but does not replace it.

  • Any assessments or testing are used to guide recommendations, not diagnose disease.

I release Nabi Health from liability for claims or damages related to the counseling process.

Consent for Telehealth Consultation

1. I understand that my provider wishes to conduct care via telehealth.

2. I understand that telehealth differs from in-person visits because we are not in the same physical location.

3. Benefits may include improved access and convenience.

4. Risks may include technical difficulties, interruptions, or unauthorized access.

5. I agree to participate from a safe, private location and not while operating a vehicle or under the influence of substances. If these conditions are not met, the session may be canceled and treated as a late cancel.

6. I have had the opportunity to ask questions and understand the risks, benefits, and alternatives.

Consent to Use Telehealth by Healthie

Nabi Health uses Telehealth by Healthie for virtual sessions.

By signing this form, I acknowledge:

1. Telehealth by Healthie is not an emergency service. In emergencies, I will call 911.

2. Healthie provides the technology platform only and does not deliver medical care.

3. My provider is responsible for my care, not Healthie.

4. I will not assume my provider has access to any system data beyond the session itself.

5. I will not share my telehealth link with unauthorized persons.

Patient Financial Agreement

Payment is due at the time of service.

A valid credit or debit card must be kept on file and may be charged for:

  • Self-pay services

  • Insurance balances (copays, deductibles, coinsurance, non-covered services)

  • Late cancellations or no-shows ($100 fee)

  • Other authorized charges

HSA/FSA cards may be used for eligible transactions.

If a charge is declined, payment must be promptly resubmitted before future appointments.

Unpaid balances after 90 days may be sent to collections and may include legal fees.

If you believe a charge was made in error, please contact us first.

Disputing a valid charge may incur a $40 fee, and refunds will exclude card processing fees.

Billing inquiries: billing@nabihealth.com

Credit Card Authorization

By signing this agreement, you authorize Nabi Health to charge your card through Stripe via Healthie for any applicable fees.

Charges will appear as Nabi Health on your statement.

This authorization remains active until you revoke it in writing.

You agree not to dispute valid transactions that align with the terms of this agreement.

Credit card transactions may be linked to Protected Health Information (PHI).

Electronic Signature

By electronically signing (checking the applicable box), you consent to use of an electronic signature ("E-Sign") for all documents related to Nabi Health.

Your E-Signature has the same effect as a handwritten signature.

You may withdraw consent by emailing hello@nabihealth.com.

Appointments for Someone Other Than Yourself (Minors and Other Adults)

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

  • A child under 18

  • 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:

  • Insurance cannot be billed

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

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

Final Acknowledgment

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.