Notre Dame Behavioral Health 

14811 W Bell Rd Ste 102 

Surprise AZ 85374

Ph: 623-328-7323

Fax: 623-337-4917

notredamebh@gmail.com

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BENZODIAZEPINES CLINIC PRESCRIPTION POLICY.

 

NOTRE DAME BEHAVIORAL HEALTH STRIVES TO SERVE CLIENTS BEST INTEREST THEREFORE CLINIC WILL NOT CONTINUE TREATING ANXIETY WITH HIGH DOSES OF BENZODIAZEPINES FOR NEW PATIENTS AND/OR OUR CURRENT PATIENTS

 

BENZODIAZEPINES ARE NOT INDICATED FOR LONG TERM USE AS IT IS A HIGHLY ADDICTIVE SUBSTANCE

 

THEREFORE, BENZODIAZEPINES WOULD BE PRESCRIBED ONLY ON SELECTED BASES FOR MEDICAL NECESSITY AND ONLY ON AS NEEDED BASES, FOR PATIENTS WHO ARE WILLING TO GRADUALLY WEAN THEMSELVES OFF BENZODIAZEPINES

 

IN ALL OTHER CIRCUMSTANCES PATIENTS ARE REQUIRED TO FIND A DIFFERENT PROVIDER OR CONSIDER INPATIENT ADMISSION FOR BENZODIAZEPINES WITHDRAWAL DETOX PROGRAM

 

THE SAME HIGH DOSAGE OF BENZODIAZEPINES WOULD NOT BE PRESCRIBED FOR MORE THAN 1 MONTH. OUR GOAL FOR TREATMENT IS TO GRADUALLY DECREASE CURRENT BENZODIAZEPINE DOSE PRESCRIPTION OVER THE NEXT 90 DAYS AND/OR COMPLETELY STOP ITS USE

New Controlled Substances Prescription Policy

New Prescription Policies in Regards to Pharmacies

Random Urine Toxicology Screening Policy:

PLEASE BE ADVISED THAT IF YOU ARE PRESCRIBED CONTROLLED SUBSTANCES FROM OUR CLINIC WE MIGHT REQUEST IN-HOUSE URINE TOXICOLOGY SCREENING ON A RANDOM BASIS BEFORE REFILLING YOUR MEDICATIONS.

Clinic Dismissal Policy

Please, be advised that you can be dismissed from the clinic for not following the Rules and Procedures of the clinic. The rules are outlined below.

  • Up to 3 CONSECUTIVE MISSED FOLLOW UP appointments and/or “NO SHOWS” for medication monitoring review

  • Frequent nonadherence to directions of prescribed medications

  • Frequent requests for medication refills via telephone, running of prescribed medication earlier that designated prescription dosage time

  • Failure to PAY OFF balance for extended period of time (up to one year)

  • Failure to follow CONTROLLED SUBSTANCE prescription policy (Controlled Substance Prescription Policy)

  • Failure to provide URINE TOXICOLOGY screen for up to 3 times

  • Being UNTRUTHFUL with the provider, using multiple pharmacies for controlled substance prescriptions, using multiple different providers for the same medication refills

  • Being DISRESPECTFUL to the provider or clinic staff such as using profanities (obscene language)

  • For any FRAUDULENT activity requests (asking to fill out fraudulent mental health or disability paperwork, court papers or other legal matter documentation)

  • Failure to disclose possession to the provider and/or surrender to the police lethal weapons if patient has suicidal or homicidal ideations

If dismissed from the clinic, medication supply would be provided for up to 30 days to give time for the patient to find another provider.

Dismissed patients will not have an option to be reinstated in the clinic in the future.