New Patients: Please download all forms, fill out and sign as required and bring to your first visit along with your insurance card(s) and co-payment. Contact me (503-789-8281) if any difficulties with the download or printing.
Location: My office is located at 1800 Blankenship Road in West Linn, Oregon, off of I-205 at the 10th Street Exit.
NEW PATIENTS: For your information I have listed some office policies below. I will also have you download a complete copy to read and sign before our first visit. Let me know if you have any questions. Dr. Andrich
EMERGENCIES—If you feel your emergency is life threatening, please call 911 or go to the nearest emergency room. If urgent, but not life threatening, call me on my cell phone 503-789-8281. Another doctor will cover for me if I am out of town, this info will be on my voice mail.
SCHEDULING–I work part-time and try to schedule Tuesdays and Thursdays between 10 am and 5 pm. For the rest of the week, days and times can vary depending on demand. I can usually get patients in within a few days to one week.
MEDICATIONS—for refill requests, please call your pharmacy and they will contact me. Regular appointments and blood work are required in order for me to refill your medications. If you leave treatment, I will provide you with a 30-day supply of medications (if appropriate) and assist you in finding another provider.
FEES—In general, fees for office visits are based on the medical complexity and the time spent in therapy. I will discuss fees in more detail should you decide to contact me about an appointment.
PRE-ARRANGED TELEPHONE APPOINTMENTS AND PAPERWORK—such as FMLA forms, letters, etc., are not covered by insurance plans. The fees for these services will be based on the time spent completing them.
PAYMENT ACCEPTED—Cash, check, VISA/MASTERCARD/DISCOVER. Discount given for payment in advance for 5 or more visits.
INSURANCE—I contract with Blue Cross, MODA Providence Preferred, Pacific Source, and accept some plans as an out of network provider. I recommend that you call your insurance provider and confirm your coverage, co-pays, deductibles, etc. Patients are responsible for their account balance whether insurance pays or not. I am not currently a MEDICARE/MEDICAID/OHP provider.
BILLING—I work with Service Plus Billing at 503-284-8841. If you have an outstanding balance you will receive a statement from them at the end of each month. Call them if you have questions about your account.
RETURNED CHECK FEE—35.00 (next payment must be cash or money order).
REMINDER CALLS–Appointment reminders are a courtesy. They are usually made 1-2 days prior to your appointment. If a reminder is not done, you are still responsible for coming to your appointment.
MISSED APPOINTMENTS—-You will be billed at the rate of 300.00 per hour for missed appointments with less than 24 hours notice and your insurance company won’t pay for this. Your appointment time is reserved exclusively for you and it is difficult to fill your time without at least 24 hours notice.
DISCHARGE FROM TREATMENT—I reserve the right to discharge patients from my practice with 30 days notice in the following situations: overdue balance on account without a plan to pay it off, not adhering to your treatment plan, not being forthcoming about drug or alcohol abuse, multiple missed appointments with less than 24 hours notice.
CONFIDENTIALITY AND RELEASE OF INFORMATION—all details of your treatment are kept confidential and won’t be disclosed without your written consent. The only exceptions are: 1) Cases of suspected abuse or neglect of a child, elder or disabled person. 2) Cases where I believe the patient presents a clear and imminent danger to self or others. 3) Cases where the court subpoenas me to testify or subpoenas my records. 4) Cases where the insurance company is helping you pay my fee and needs information about a diagnosis and/or reports about treatment. 5) Cases where information is needed to facilitate your treatment in a medical emergency.
HIPAA NOTICE OF POLICIES AND PRACTICES—I am committed to protecting the privacy of your health information. I am required by Federal law (Health Insurance Portability and Accountability Act, known as HIPAA) and by State law to protect the privacy of your health information and to offer you a notice that describes (a) how clinical information about you may be used and disclosed and (b) how you can get access to this information. Please ask for a copy of the HIPAA Notice of Policies and Practices should you wish to have a copy for your records.
INCLEMENT WEATHER—If conditions are icy or snowy, my office will close when the West Linn-Wilsonville School District closes, watch the local news for the weather alerts.