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1.
Clinic fees are due on a weekly basis (lst visit each week).
2.
You must have a valid Texas ID/drivers license in your file.
3.
Toxicology Associates accepts cash, money orders, and cashier checks
only. No checks, ATM, or major credit
cards accepted.
4.
You must provide proof of income (i.e. legal means of support). This includes a paycheck stub, a letter from
your employer, or any documentation to support claims of financial support.
5.
To prevent take-out schedules from being placed on “temporary hold”, all
fees must be paid in full and in a timely manner. A patient with an outstanding balance will be required to come in
daily for dosing until balance issue is resolved.
6.
Failure to meet financial responsibility to the clinic may result in
detoxification and discharge.
7.
Weekend dosing for Houston Clinics takes place at TA’s southwest clinic
located at 6910 Bellaire Blvd.
8.
A physical examine, tuberculin skin test (TB), blood work, urinalysis
(UA), and HIV screening, if available, will be administered and the results
will be kept on file. TB tests and
physical exams are required annually.
9.
Once stabilized, increasing/decreasing a dose requires advance
approval. You will be required to meet
with your counselor for the initiation of the necessary paperwork. Approval may require up to 72 hours.
10.
Under no circumstances will medication be provided before or after
clinic dispensing hours.
11.
If you present appearing intoxicated, you will not receive any
medication.
12.
A patient must call the clinic if the patient is to be absent. If not, the missed day(s) will be
documented as an “unexcused” absence.
13.
Three (3) days of absence will result in your dose being reduced by
half on the first day with no take-outs.
More than three (3) missed days of treatment will require re-instatement
into the program and your dose will be reduced to the induction dose of
30mg with gradual increases observed daily until determined stabilized. A re-instatement fee will apply. Patients who have missed more than 14 days
will be terminated.
14.
Patterns of repeated tardiness are documented and may effect level
changes and/or take-out privileges.
15.
It is necessary to communicate with counselor at all times. Leaving messages with medical and other
administrative staff is not permissible.
16.
You must meet with your assigned counselor on a regular
basis.
17.
Take-outs (even a one-day take-out) must be carried out in a container
that locks. Should a patient not
have a box for take-outs, he/she will be dosed for that day only and
take-out medication will be placed on a “temporarily hold” until the patient
can return with a lock box for safe storage and keeping.
18.
If take-outs are received, patients are required to count their
medication (ie. Tablets, bottles, etc.) along with the dispensing nurse while
at the window and before leaving the clinic.
Reports of “lost” or “never received” medication will not be acknowledge
at a later time.
19.
The loss of any dose(s) constitutes irrefutable evidence of failure to
be adequately responsible for insuring the safety and security of take-out
doses of methadone. Any report of loss
of any take-out dose, regardless of circumstances, will result in level
revocation for a period of at least 90 days.
20.
Level changes are not granted during the first 30 days of treatment. Exceptional take-outs are a possibility
depending on a given situation but required state and federal approval for
which there is a $25.00 fee and take at least 72 hour advance notice.
21.
Dry medication is given only when take-outs equal 6 or more.
22.
Communication
with outside agencies or individuals (including family members) about your
enrollment and/or services received at Toxicology Associates will require a
signed “Consent for Release of Confidential Information”.
23.
Once
a patient is voluntarily/involuntarily discharged Toxicology will follow-up to
determine a patient’s current status, therefore, patients will be required to
consent to this procedure upon admission.
24.
“Random”
urine drug screens will be conducted as frequently as considered appropriate or
deemed necessary by program staff.
Patients who visit the clinic one or two times a month may be required
to make an additional visit to the clinic for this purpose. Refusal to do adhere to this rule will be
grounds for level revocation.
25.
Failure
to submit a urine sample “upon request” will result in the documentation of a
“dirty urine”. A $10.00 urine fee is
charged to a patient accounts and any probationary measures taken will affect a
patient’s level or take-out privileges.
26.
In regards to prescription medication, patients are required to provide
program staff with copies of each prescription prior to leaving a urine
sample. A $10.00 urine fee is
applicable should a drug screening return “dirty” for a prescribed medication
for which a patient fails to present to the counselor prior to the urine
collection.
27.
Travel take-out exceptions must be documented. Documentation includes copies of airline
tickets, boarding passes, receipts from gas stations, hotels, or car rental; any
document that will place you at your destination. Documents used to support travel must reference patient’s name,
date, time, place, and location. Air
travel and hotel stay confirmations attained from the Internet are not
permissible documents.
28.
There must be no soliciting inside or outside the clinic.
29.
There is a permanent transfer fee of $25.00. This is in addition to any outstanding balance you may have at
the time of transfer.
30.
No pets are allowed inside the clinic at any time.
31.
There is to be no selling, using, buying or sharing of drugs, alcohol
or Methadone inside or outside the clinic.
Violation of this rule will result in immediate discharge.
32.
Abusive language or threats toward program staff or other patients will
result in immediate discharge.
33.
No weapons of any kind are allowed inside the clinic. Violation of this rule will result in
immediate discharge.