Patient Rights & ResponsibilitiesEmpowering Your Care, Respecting Your Voice
At Fortified Minds PLLC, we are committed to providing compassionate, patient-centered mental health care. We believe that an informed and involved patient is an empowered one. This page outlines your rights as a patient and the responsibilities that help us provide safe, ethical, and effective care.
🛡️ Your Rights
As a patient at Fortified Minds PLLC, you have the right to:
Respect & DignityReceive care that respects your values, cultural background, and personal dignity without discrimination.
ConfidentialityHave your personal and health information kept private and disclosed only as permitted by law or with your consent.
Informed ConsentReceive complete and understandable information about your diagnosis, treatment options, and the potential risks and benefits, so you can make informed decisions about your care.
Access to CareReceive timely access to mental health services appropriate for your needs, whether in-person (Virginia only) or through telehealth.
Participate in Your CareBe involved in developing your care plan and have the right to accept or refuse treatment.
Access to RecordsRequest access to and a copy of your medical records in accordance with applicable laws.
File a ComplaintVoice concerns about your care or provider without fear of retaliation. You may contact us directly to submit a complaint, and we will respond promptly.
âś… Your Responsibilities
To help us deliver effective and respectful care, we ask that you:
Be HonestProvide accurate and complete information about your health history, symptoms, medications, and insurance details.
Follow Your Treatment PlanParticipate actively in your care and follow the agreed-upon treatment plan. Let us know if you have questions or difficulties following it.
Keep AppointmentsArrive on time or log in punctually for scheduled sessions. If you need to cancel or reschedule, please provide at least 24 hours’ notice.
Treat Staff RespectfullyInteract respectfully with all Fortified Minds staff and providers. We maintain a zero-tolerance policy for abuse, harassment, or discrimination.
Secure Your InformationKeep your account credentials private and log out of telehealth sessions when not in use.
Communicate ChangesLet us know if there are any changes in your contact information, insurance coverage, or health condition.
We are honored to be part of your mental health journey. At Fortified Minds PLLC, we value collaboration and transparency, and we are here to support you every step of the way.
Consent for Treatment & Telehealth AgreementFortified Minds PLLC
This form serves as your formal consent to receive mental health care services from Fortified Minds PLLC (“Fortified Minds”), including in-person and/or telehealth psychiatric services, therapy, and medication management.
By signing this form, you acknowledge and agree to the following:
Voluntary Participation:You are voluntarily seeking treatment for mental health concerns and understand that you may withdraw from treatment at any time.
Nature of Services:You understand that treatment may include psychiatric evaluations, medication management, psychotherapy, and other related services, depending on your individual needs.
Benefits and Risks:Mental health treatment can lead to improved emotional well-being, but there may be risks such as experiencing uncomfortable emotions or temporary worsening of symptoms.
Confidentiality:All information shared during treatment is confidential, except as required by law (e.g., threats of harm, suspected abuse, court orders).
đź’» Telehealth Agreement
If you receive care via telehealth, please review and agree to the following:
Telehealth Services:Telehealth involves the use of secure video conferencing technology to provide remote care. You understand that these services are subject to limitations and may not be appropriate for all clinical needs.
Privacy & Security:Fortified Minds uses HIPAA-compliant platforms to protect your privacy. However, no system is completely immune to technical failure or security breaches.
Location Requirement:You must physically be in Virginia, New York, Washington D.C., or Maryland at the time of your telehealth session. Services cannot be provided if you are located elsewhere.
Technology Responsibility:You agree to use a secure internet connection and ensure privacy on your end during each session. You are responsible for ensuring a stable environment to protect your confidentiality.
Emergency Situations:Telehealth is not appropriate for emergencies. If you are in crisis or need immediate help, call 911, go to the nearest emergency room, or contact a crisis line.
âś… Acknowledgement & Consent
By signing below, you acknowledge that:
You have read and understood this Consent for Treatment & Telehealth Agreement
You have had the opportunity to ask questions
You agree to participate in care at Fortified Minds PLLC under the terms stated above
