Anna Marie Grace Kastner MSN, APRN, PMHNP-BC

ARK Mental Health Wellness

702-664-9614

5524 S. Fort Apache Road, Suite 120
 Las Vegas, NV 89148

Confidentiality
Trust and safety are paramount in the treatment plan of your mental health; therefore, I take confidentiality very seriously. However, there are a few exceptions:
1.     If I believe you could harm yourself or others.
2.     If I suspect child or elder abuse.
3.     If a court subpoenas your records.
4.     If you verbally consent for me to release or request documents with another provider to optimize your care.

Questions, Concerns, and Emergencies
During business hours, please contact our office at (702)664-9614 or info@arkmentalhealthwellness.com, or via portal message. After business hours or the case of an extreme emergency, please call 911 or seek immediate care at your nearest emergency department.

Cancellations and Missed Appointments
With the exception of serious emergencies, it is expected that you keep all your appointments. If you need to reschedule an appointment, we require 48-hour notice. In such a case, please call our office and arrange for a make-up appointment with one of our patient care coordinators.

Cancellation Policy for Appointment
We understand that there are times when you miss an appointment due to emergencies or obligations for work or family. However, when you do not call to cancel an appointment, you may be preventing another patient from getting much needed treatment. Conversely, the situation may arise where another patient fails to cancel and we are unable to schedule you for a visit, due to a seemingly "full" appointment book.

 Patients who fail to show for scheduled appointments and did not notify the office within 48 hours of their appointment time will be charged a no-show fee. In the event of an actual emergency and prior notice cannot be given, consideration will be given, and a one-time exception may be granted.

To cancel an appointment, please call our office 9:00 a.m. through 4:30 p.m. at (702) 664-9614 and speak with our schedule coordinator or you can text this number as well. You can also cancel by e-mail: info@arkmentalhealthwellness.com 
   
No Show Fee
1.     If you do not cancel or show up for your appointment as scheduled you will be charged a no show fee. Fee must be paid prior to rescheduling any future appointments.
2.     Client will be discharged from the practice after the second No Show.
Scheduled Appointments
1.     We understand that delays can happen, however, we must try to keep the other patients on time. If you are running late, please notify the office. If a patient is 15 minutes past their appointment time, we will re-schedule your appointment. 
 
Prescription Refills
We do require office visits on a regular basis for all our patients taking prescription medication and refill of medications will be provider discretion and it's not guaranteed. The interval will vary depending on the type of medication prescribed. It is our goal to provide you with enough refills on your medication before your next office visit.

Contacting You
It is your responsibility to keep your contact information up to date. If your information changes, please contact our office at (702) 664-9614 and update our staff as soon as possible.

Contacting Me
We encourage you to contact the office if you have questions or concerns about your treatment. We will make every effort to return your call within the same day, but it may be the next day on occasion. It is easiest to reach the doctors directly via messaging or email. You may call the office during office hours and leave a non-confidential voicemail or message with my administrative managers. Please identify if it is an emergency or if you need a rapid call return. We strongly encourage the use of our portal messaging. Please allow 48 hours for a response. This is an encrypted message service and is secure for private communications. If you elect to email through the Gmail account, you understand that the messages are standard email and not considered secure.

Frequently Asked Questions
We understand that there might be a situation when you do have to call us for a prescription. Please review the list below and see what you can do to plan.

Are you changing to a new local pharmacy? You should call your new pharmacy and request that your prescriptions be transferred from your old pharmacy. We sometimes do not have to write new prescriptions. However, controlled substances WILL NOT be transferred to a different pharmacy.

1.     Pharmacies may not always carry your specific medication and dosage, so medications may need to be special ordered by the pharmacy. If you need to change pharmacies for this reason, it will be handled on a case-by-case basis with your provider.
2.     For clients prescribed with controlled substances, pharmacy will only be changed once. Frequent pharmacy changes for controlled substances are prohibited and considered as pharmacy shopping.
 
Are you going out of town and requesting to fill your prescription sooner? You need to call your pharmacy and our office and notify us of your circumstances. It is at the provider’s discretion if they will honor your request to fill the prescription sooner.
 
Are you going on an extended vacation and need to use an out-of-town pharmacy? This only applies for non-controlled substances medications. You need to call the NEW pharmacy that you will be using and have them contact your hometown pharmacy to see if your prescriptions could be transferred. When you return home, you must reverse the process. Often, the out of state pharmacy will need to contact our office before authorizing the medication fill. Please be aware that laws vary between states, and we cannot guarantee your prescriptions will be filled in another state.
 
Are you changing to a new mail order pharmacy? Some pharmacies will transfer your prescriptions to the new pharmacy. If you still have refills on your current prescriptions, please check with your current mail order pharmacy to see if your prescriptions can be transferred.
 
If I missed my appointment, can I get refills of my controlled substances? Refills of controlled substances will not be authorized if an appointment is missed by the client. We will bridge you with all non-controlled medications to last you through your next rescheduled appointment.
Again, we appreciate the opportunity to be of service to you. If you have questions, concerns, or suggestions regarding the practice, please discuss them with us. We are always eager to hear your comments and will gladly answer your questions.
 
Office Forms/Consent
They will be emailed to you directly and must be completed 24 hours prior to your appointment. If you need help completing these forms, please contact (702) 664-9614 or email us at info@arkmentalhealthwellness.com so we can assist you. If you prefer to complete these form/consents in person, please plan in the office 30 minutes prior to your schedule appointment.
Again, we appreciate the opportunity to be of service to you. If you have questions, concerns, or suggestions regarding the practice, please discuss them with us. We are always eager to hear your comments and will gladly answer your questions.

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