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Old 11-19-2015, 02:38 PM
Status: "Health and safety first" (set 15 days ago)
 
12,182 posts, read 5,521,774 times
Reputation: 13428

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I'm an adult in my 20s and have had ADD all my life. However, it's been successfully and consistently managed with a very low dose of Ritalin.

I've always been a member of a large healthcare provider, but I've recently changed insurance, and am no longer a member of the former healthcare provider from which I got my prescription.

With the insurance I have now, I can access a network of private practices. So I plan to visit a psychiatrist.

My question is, and I know it's probably dumb, but what exactly do I tell them so that they can provide my prescriptions from now on? I know they're probably hesitant to prescribe meds like Ritalin to new patients because of people who abuse them, but the fact is that I've been taking it for years, and it helps me very successfully manage my ADD.

Are they going to require me to go through the whole battery of screening and tests, etc? Or can I just show them evidence that I've been prescribed this for years?

Thanks!
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Old 11-19-2015, 02:41 PM
 
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When you find the Dr you want, they can obtain your records from your old Dr. That's probably the easiest way.

I would expect the first appointment to be more a "consult" to meet you, get the records and hear from you what you're looking for from the therapy etc..

But if you have long standing documentation it shouldn't be an issue.
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Old 11-19-2015, 02:58 PM
Status: "Health and safety first" (set 15 days ago)
 
12,182 posts, read 5,521,774 times
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Quote:
Originally Posted by WeHa View Post
When you find the Dr you want, they can obtain your records from your old Dr. That's probably the easiest way.

I would expect the first appointment to be more a "consult" to meet you, get the records and hear from you what you're looking for from the therapy etc..

But if you have long standing documentation it shouldn't be an issue.
Will they be able to obtain the records directly? Or will I need to ask my former doctor to send them to the new doctor?
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Old 11-19-2015, 03:05 PM
 
2,937 posts, read 1,898,384 times
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Quote:
Originally Posted by ohhwanderlust View Post
Will they be able to obtain the records directly? Or will I need to ask my former doctor to send them to the new doctor?
It depends, ask the new doctor and they'll give you a records release form, you might have to also sign a release with your old Dr. Then his office will send them over.
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Old 11-20-2015, 12:41 PM
 
9,237 posts, read 19,803,379 times
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Healthcare privacy officer here. Also a mental health professional.


Like the other posters said:




You will likely have no problem having your Rx continued by a new provider of you have a documented history of treatment for the condition.


First, get your current doctor to write you a carry-over prescription. If it's not covered, at least you can pay cash for it. Check the prices for the available generics, and if necessary, purchase less than a month's worth of pills at a time, but keep the prescription (and taking the meds) continuous.


Second, Complete an Authorization to Release Protected Health Information (AKA a "release") with either the new provider or the current provider. If you fill it out with the current provider, make it very clear on the form what records you want sent and the address for the new provider. If you fill it out with the new provider, make sure they have the address and contact information for the current/old provider exactly correct, and that you, again, very specifically state on the form what records you want to be sent. Some medical records people will find any reason to not honor a request for records, such as a single error on a release form, so that they don't have to go through the trouble of digging out your records and copying them. Some medical records people (especially those at hospitals and large healthcare provider agencies) won't even inform the requestor or patient when there is a problem with the release that results in not sending the record. They just file it. Do not fill out the Release for "any and all records" because the medical records person could claim that the release was not specific enough and not send the records. Make sure the release specifies things like evaluations including diagnostic information, prescriptions and orders information, and medication visit notes.


Believe me, I deal with medical records people all the time who are either misinformed about HIPAA, or who use HIPAA as an excuse to not do the work involved in sending out records. So from a client/patient's point of view, you would likely have more luck in going directly to your old/current provider and filling out the form right there in person, with them there. Also, get them to tell you the expected date by which the records will be sent.


The only time you might have a problem with getting a brand new provider to prescribe a controlled substance would be if you have no records of prior and continuous treatment, and if you have signs or history of recent substance abuse (including abuse of the prescription medication).
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