Policies, Terms, Privacy and more
Click on the drop down boxes to read full policies.
Notice of Privacy Policies (HIPAA)
Your Information. Your Rights. Our Responsibilities.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
LAYERED SUMMARY TEXT –
Your Rights
You have the right to:
• Get a copy of your paper or electronic medical record
• Correct your paper or electronic medical record
• Request confidential communication
• Ask us to limit the information we share
• Get a list of those with whom we’ve shared your information
• Get a copy of this privacy notice
• Choose someone to act for you
• File a complaint if you believe your privacy rights have been violated
Your Choices
You have some choices in the way that we use and share information as we:
• Tell family and friends about your condition
• Provide disaster relief
• Include you in a hospital directory
• Provide mental health care
• Market our services and sell your information
• Raise funds
Our Uses and Disclosures
We may use and share your information as we:
• Treat you
• Run our organization
• Bill for your services
• Help with public health and safety issues
• Do research
• Comply with the law
• Respond to organ and tissue donation requests
• Work with a medical examiner or funeral director
• Address workers’ compensation, law enforcement, and other government requests
• Respond to lawsuits and legal actions
Your Rights
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical record
• You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record
• You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
• We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communications
• You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
• We will say “yes” to all reasonable requests.
Ask us to limit what we use or share
• You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
Get a list of those with whom we’ve shared information
• You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
• We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone to act for you
• If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
• We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
• You can complain if you feel we have violated your rights by contacting us using the information on page 1.
• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
• We will not retaliate against you for filing a complaint.
Your Choices
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
• Share information with your family, close friends, or others involved in your care
• Share information in a disaster relief situation
• Include your information in a hospital directory
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us written permission:
• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes
In the case of fundraising:
• We may contact you for fundraising efforts, but you can tell us not to contact you again.
Our Uses and Disclosures
How do we typically use or share your health information?
We typically use or share your health information in the following ways.
Treat you
We can use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.
Run our organization
We can use and share your health information to run our practice, improve your care, and contact you when necessary.
Example: We use health information about you to manage your treatment and services.
Bill for your services
We can use and share your health information to bill and get payment from health plans or other entities.
Example: We give information about you to your health insurance plan so it will pay for your services.
How else can we use or share your health information?
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see:
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
Help with public health and safety issues
We can share health information about you for certain situations such as:
• Preventing disease
• Helping with product recalls
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or domestic violence
• Preventing or reducing a serious threat to anyone’s health or safety
Do research
We can use or share your information for health research.
Comply with the law
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
Respond to organ and tissue donation requests
We can share health information about you with organ procurement organizations.
Work with a medical examiner or funeral director
We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Address workers’ compensation, law enforcement, and other government requests
We can use or share health information about you:
• For workers’ compensation claims
• For law enforcement purposes or with a law enforcement official
• With health oversight agencies for activities authorized by law
• For special government functions such as military, national security, and presidential protective services
Respond to lawsuits and legal actions
We can share health information about you in response to a court or administrative order, or in response to a subpoena.
Our Responsibilities
• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.
Terms and Conditions
2. You are the creator and owner of or have the necessary licenses, rights, consents, releases, and permissions to use and to authorize us, the Site, and other users of the Site to use your Contributions in any manner contemplated by the Site and these Terms of Use.
3. You have the written consent, release, and/or permission of each and every identifiable individual person in your Contributions to use the name or likeness of each and every such identifiable individual person to enable inclusion and use of your Contributions in any manner contemplated by the Site and these Terms of Use.
4. Your Contributions are not false, inaccurate, or misleading.
5. Your Contributions are not unsolicited or unauthorized advertising, promotional materials, pyramid schemes, chain letters, spam, mass mailings, or other forms of solicitation.
6. Your Contributions are not obscene, lewd, lascivious, filthy, violent, harassing, libelous, slanderous, or otherwise objectionable (as determined by us).
7. Your Contributions do not ridicule, mock, disparage, intimidate, or abuse anyone.
8. Your Contributions are not used to harass or threaten (in the legal sense of those terms) any other person and to promote violence against a specific person or class of people.
9. Your Contributions do not violate any applicable law, regulation, or rule.
10. Your Contributions do not violate the privacy or publicity rights of any third party.
11. Your Contributions do not violate any applicable law concerning child pornography, or otherwise intended to protect the health or well-being of minors.
12. Your Contributions do not include any offensive comments that are connected to race, national origin, gender, sexual preference, or physical handicap.
13. Your Contributions do not otherwise violate, or link to material that violates, any provision of these Terms of Use, or any applicable law or regulation.
Policies and Procedures
Lindsay Castiglione, IBCLC is an International Board Certified Lactation Consultant (IBCLC)
Company Name: Full Hearts Collaborative, LLC
Email: lindsay@fullheartscollaborative.com
Website: www.fullheartscollaborative.com
Role: Owner & Sole member
Responsibilities:
• Responds to phone, text and/or email inquiries
● Communicates with current and potential clients regarding appointments
● Provides follow up support by phone, text, email, and/or secure messaging
● Communicates with clients regarding their care plan
● Sends marketing communications to clients who have opted in
● Performs in-person clinical care
● Performs virtual clinical care
● Manages administrative tasks
● Has access to client clinical data
● Has access to client financial data
● Has access to practice financial data
● Files annual taxes and generates appropriate documentation
● Submits and processes claims and payments
● Has access to insurance information, claims, and EOBs
● Maintains website
● Serves as privacy officer
● Is covered under professional liability insurance with:
○ CM&F
○ Policy #: L51697
○ Effective: 2021-09-01
○ Expires: 2022-09-01
● Is a HIPAA-covered entity
Mission Statement
It is the mission of Full Hearts Collaborative, LLC to provide comprehensive, individualized and expert lactation care to its clients, both virtually and in-person.
IBLCE Code of Professional Conduct
I adhere to the IBLCE Code of Professional conduct as found here.
Non-Discrimination Policy
Full Hearts Collaborative does not discriminate against employees, business associates, or clients on the basis of race, color, ethnicity, national origin, ancestry, creed, citizenship status, sex, gender identity, sexuality, sexual orientation, gender expression, religion, physical ability, age, family status, or marital status.
Full Hearts Collaborative is an inclusive practice and acknowledges that not all lactating persons identify as female or use the word mother.
Full Hearts Collaborative seeks continuing education on cultural competency, inclusivity, racial inequities, and LGBTQIA concerns in order to provide the best possible care to all families.
Services Provided:
In-person lactation consultations, virtual consultations, and parenting education.
Lactation Visits
in-Home: In Saratoga County, NY and immediate surrounding areas
Virtually: via a secure and HIPAA-compliant platform
Regular Business Hours: 9am-5pm M-F, weekend and evening hours available but subject to provider’s approval
Visit Policies
● Full Hearts Collaborative provides all clients with a Consent for Care. This form will be provided to the client when scheduling the visit and must be signed before services are rendered. Client has the right to refuse any treatment or intervention offered, and this refusal will be documented in client’s chart.
● Consent is verbally requested before touching client or client’s minor child. Client may verbally withdraw consent to be touched at any time, even if consent was previously given verbally or in writing. Withdrawal of consent will be documented.
Full Hearts Collaborative is/is not an affiliate with any third party
Full Hearts Collaborative may refer clients to other professionals for continued care.
● Full Hearts Collaborative does not accept fees for these referrals
● Full Hearts Collaborative will provide more than one referral option when available
Cancellations, Tardiness, and Closures:
Client visits will be canceled in the event of provider illness or personal emergency and rescheduling is not guaranteed. In the event of cancellation for illness or personal emergency, clients will be notified by their preferred method as provided during intake.
If Full Hearts Collaborative is not available due to scheduling constraints, vacation, or illness (choose all that apply):
● New appointment requests will be referred to another IBCLC.
● Best efforts will be made to notify active clients of any planned closures.
● Best efforts will be made, with no guarantee, to respond to urgent messages from active clients during vacation or planned closure. Full Hearts Collaborative reserves the right to assess the urgency of a client message.
If Full Hearts Collaborative will not be on time for a scheduled visit, Lindsay Castiglione will attempt to communicate an updated arrival time by phone or text.
Client Cancellation Policies
• If client cancels the visit for any reason less than 48hours in advance, no refund will be given but all reasonable attempts to reschedule will be made.
• Full Hearts Collaborative reserves the right to cancel appointments for any reason without notice but will make all reasonable attempts to reschedule.
Insurance Payment Policies
Full Hearts Collaborative had partnered with The Lactation Network and their eligible subsidiaries. Clients must provide their plan ID, group number, date of birth, and relationship to The Lactation Network prior to the visit. Client’s eligibility will be checked and client will be notified of active insurance. Client's credit card information will be provided upon booking appointment, charged only in the event that insurance lapses, co-pays need to be collected, or any other payment due to provider is assessed. Client will be informed of amount and circumstances prior to charge.
Full Hearts Collaborative agrees to accept the payer’s negotiated rate. If any portion of the claim for parent or baby is applied to a co-pay, deductible, or co-insurance, Full Hearts Collaborative will make every effort to have this claim reprocessed by the payer. If attempts are unsuccessful and appeals are exhausted, client agrees to pay the amount in full. Full Hearts Collaborative will notify client and charge the payment method on file.
If client’s coverage lapses, changes, or terminates prior to a scheduled visit, client is responsible to cover all charges at the self-pay rate and to inform Full Hearts Collaborative of this change.
Fees for In-Person Services:
● Initial In-Person Visit: $250 – 1.5-2.5 hours
○ Follow up policy: The visit fee includes one week of follow up, to include one phone call and/or one message exchange daily over client portal
● Follow up In-Person visit: $125 – 60-75 min
○ Follow up policy: The visit fee includes one week of follow up, to include up to one phone call and/or one message exchange daily over client portal
*Surcharge for Multiples: $50 for each additional baby and includes additional time as needed
*Surcharge for Travel Outside Service Area depending on distance
● Payment methods accepted:
○ Cash or personal check accepted
○ Credit Card processed through PCI-compliant processor Square Up
Fees for Virtual Services:
● Virtual Initial Virtual Visit: $150 – 60-90 minutes in length
● Virtual Follow up Visit: $125 – 60-75 minutes in length
● Follow up policy: The telemedicine visit fee includes one week of follow up, to include up to one phone call or one message exchange daily over client portal
*Surcharge for Multiples: $50 for each additional baby and includes additional time as needed
Fee for Service Payment Policies
● Full Hearts Collaborative accepts payments at the time of booking.
● All services are non-refundable.
● A discount will be provided for follow up visits.
● A surcharge will be applied to home visits outside my service area.
● A surcharge may be applied if you have twins or higher order multiples to cover the extra length of the visit.
● These surcharges are not eligible for insurance reimbursement.
● A military discount of 30% off listed prices is offered to recognize the need for postnatal support for our military families, and to honor their service.
Telemedicine
Full Hearts Collaborative offers telemedicine services through Practice Better. Security and privacy are assured, please read Practice Better’s privacy polices at https://help.practicebetter.io/hc/en-us/articles/234814027-Privacy-and-Security-on-Practice-Better
● Payment is due at the time of booking and is non-refundable.
Fees:
● Virtual Initial Virtual Visit: $150 – approximately 90 minutes in length
● Virtual Follow up Visit: $125 – 60-75 minutes in length
● Follow up policy: The telemedicine visit fee includes one week of follow up, to include up to one phone call and/or one message exchange daily over client portal. Additional weeks of follow up, including up to one phone call and or message exchange daily, can be purchased for $25 each.
*Visit Surcharge for Multiples: $50 for each additional baby and includes additional time as needed
Scheduling Procedures
• Full Hearts Collaborative offers online scheduling through Practice Better
● Appointments will be made through other means on a case-by-case basis.
● Full Hearts Collaborative reserves the right to reschedule or cancel appointments for any reason.
● Priority scheduling will be given to established clients.
● Priority scheduling will be given to in-network clients.
● New clients may not schedule visits more than 10 days in advance.
● An appointment confirmation will be sent
● By email or text via Practice Better
Client Communications
Phone, Email, and Text Services
Prospective Clients
Full Hearts Collaborative maintains a website at www.fullheartscollaborative.com hosted by Squarespace. Contact phone number and email address are publicly posted. Website has a contact form that accepts submissions; personal information from this contact form is collected, stored, used and disclosed in accordance with the Privacy Policy posted on the site.
When a phone call, email, and/or text comes in from a prospective client, my policy is to:
● Reply within 24 hours
● Send a link to my online scheduler
● Send a link to my website for more information on my services if needed
● I will not provide clinical support or counseling to prospective clients
Current Clients
Clients receive one week of follow up support by phone or secure messaging on client portal as part of their fee for services. After the one week period, an extension can be purchased for $25 each week and will include up to one secure message or phone call per day.
Secure Messaging
Full Hearts Collaborative provides secure messaging to established clients through the electronic medical record platform, Practice Better.
Secure messages will be replied to within 24 hours, but as quickly as possible.
Marketing Communications
Full Hearts Collaborative sends periodic marketing emails through mailchimp. Clients are required to give express consent before being added to an email marketing list. Clients may request to be removed from the list at any point by sending an email to lindsaycastiglione@gmail.com. Full Hearts Collaborative will never sell or rent this marketing list.
Social Media Communications
Lindsay Castiglione may maintain private social media accounts for personal use. Connection or direct message requests made by clients through these platforms will not be accepted.
Full Hearts Collaborative maintains public social media accounts for marketing purposes on the following platforms: Facebook, Instagram, Twitter, YouTube and Pinterest. All photos appear by express permission of the owner of the photo and all persons appearing in the photo. No client photos or videos will be published without express written consent. Clients and/or their minor children will not be named in posts on social media without express written consent.
Full Hearts Collaborative will not provide direct clinical support or counseling or advice on any social media platform, either public or private. Public accounts are for marketing purposes only to offer general information.
Website Communications
Website Terms and Conditions are publicly posted on the website for Full Hearts Collaborative.
Full Hearts Collaborative abides by all applicable federal, provincial, state, and local regulations regarding copyright. No text, image, or graphic content will appear without the express permission of the copyright or trademark holder.
Record Retention Policies
Lindsay Castiglione is subject to the record retention laws of Pennsylvania which state, “The State Board of Medicine requires that MDs retain a minor patient's records for at least seven years from the last date-of-service or one year after the patient's 18th birthday, whichever is longer.”
Clients may request a copy of their chart or that of their minor child at any point during the record retention period. Request must be made in writing to the listed address for Full Hearts Collaborative. Receipt of the request will be acknowledged by Full Hearts Collaborative, and records will be mailed within 30 days of acknowledgement of the request.
Compliance with Privacy Regulations
Full Hearts Collaborative is in compliance with all applicable federal and provincial/state regulations with respect to the use of technology for healthcare.
Our Privacy Policy for personal information and personal health information is publicly posted on the website for Full Hearts Collaborative
Devices
All devices used for client care will be secured by a passcode and/or biometric identification.
Platforms
Full Hearts Collaborative uses Practice Better for client care. The following safeguards are in place.
● Password protection
● Two-factor
● Data Encryption
Services
Full Hearts Collaborative will not use any free cloud-based services for client communication or file storage.
Email services and document storage are provided through:
● G-Suite
Personal Policies
Lindsay Castiglione is up-to-date on all immunizations including but not limited to: Pfizer Covid-19 vaccine, Tdap, and the Flu vaccine.
Lindsay Castiglione actively pursues continuing education related to lactation management, infant and child development, parental wellness, communication skills and cultural competence
Policies and Procedures
Full Hearts Collaborative Policies & Procedures
Lindsay Castiglione, IBCLC is an International Board Certified Lactation Consultant (IBCLC)
Company Name: Full Hearts Collaborative, LLC
Email: lindsay@fullheartscollaborative.com
Website: www.fullheartscollaborative.com
Role: Owner & Sole member
Responsibilities:
• Responds to phone, text and/or email inquiries
● Communicates with current and potential clients regarding appointments
● Provides follow up support by phone, text, email, and/or secure messaging
● Communicates with clients regarding their care plan
● Sends marketing communications to clients who have opted in
● Performs in-person clinical care
● Performs virtual clinical care
● Manages administrative tasks
● Has access to client clinical data
● Has access to client financial data
● Has access to practice financial data
● Files annual taxes and generates appropriate documentation
● Submits and processes claims and payments
● Has access to insurance information, claims, and EOBs
● Maintains website
● Serves as privacy officer
● Is covered under professional liability insurance with:
○ CM&F
○ Policy #: L51697
○ Effective: 2021-09-01
○ Expires: 2022-09-01
● Is a HIPAA-covered entity
Mission Statement
It is the mission of Full Hearts Collaborative, LLC to provide comprehensive, individualized and expert lactation care to its clients, both virtually and in-person.
IBLCE Code of Professional Conduct
I adhere to the IBLCE Code of Professional conduct as found here.
Non-Discrimination Policy
Full Hearts Collaborative does not discriminate against employees, business associates, or clients on the basis of race, color, ethnicity, national origin, ancestry, creed, citizenship status, sex, gender identity, sexuality, sexual orientation, gender expression, religion, physical ability, age, family status, or marital status.
Full Hearts Collaborative is an inclusive practice and acknowledges that not all lactating persons identify as female or use the word mother.
Full Hearts Collaborative seeks continuing education on cultural competency, inclusivity, racial inequities, and LGBTQIA concerns in order to provide the best possible care to all families.
Services Provided:
In-person lactation consultations, virtual consultations, and parenting education.
Lactation Visits
in-Home: In Saratoga County, NY and immediate surrounding areas
Virtually: via a secure and HIPAA-compliant platform
Regular Business Hours: 9am-5pm M-F, weekend and evening hours available but subject to provider’s approval
Visit Policies
● Full Hearts Collaborative provides all clients with a Consent for Care. This form will be provided to the client when scheduling the visit and must be signed before services are rendered. Client has the right to refuse any treatment or intervention offered, and this refusal will be documented in client’s chart.
● Consent is verbally requested before touching client or client’s minor child. Client may verbally withdraw consent to be touched at any time, even if consent was previously given verbally or in writing. Withdrawal of consent will be documented.
Full Hearts Collaborative is/is not an affiliate with any third party
Full Hearts Collaborative may refer clients to other professionals for continued care.
● Full Hearts Collaborative does not accept fees for these referrals
● Full Hearts Collaborative will provide more than one referral option when available
Cancellations, Tardiness, and Closures:
Client visits will be canceled in the event of provider illness or personal emergency and rescheduling is not guaranteed. In the event of cancellation for illness or personal emergency, clients will be notified by their preferred method as provided during intake.
If Full Hearts Collaborative is not available due to scheduling constraints, vacation, or illness (choose all that apply):
● New appointment requests will be referred to another IBCLC.
● Best efforts will be made to notify active clients of any planned closures.
● Best efforts will be made, with no guarantee, to respond to urgent messages from active clients during vacation or planned closure. Full Hearts Collaborative reserves the right to assess the urgency of a client message.
If Full Hearts Collaborative will not be on time for a scheduled visit, Lindsay Castiglione will attempt to communicate an updated arrival time by phone or text.
Client Cancellation Policies
• If client cancels the visit for any reason less than 48hours in advance, no refund will be given but all reasonable attempts to reschedule will be made.
• Full Hearts Collaborative reserves the right to cancel appointments for any reason without notice but will make all reasonable attempts to reschedule.
Insurance Payment Policies
Full Hearts Collaborative had partnered with The Lactation Network and their eligible subsidiaries. Clients must provide their plan ID, group number, date of birth, and relationship to The Lactation Network prior to the visit. Client’s eligibility will be checked and client will be notified of active insurance. Client's credit card information will be provided upon booking appointment, charged only in the event that insurance lapses, co-pays need to be collected, or any other payment due to provider is assessed. Client will be informed of amount and circumstances prior to charge.
Full Hearts Collaborative agrees to accept the payer’s negotiated rate. If any portion of the claim for parent or baby is applied to a co-pay, deductible, or co-insurance, Full Hearts Collaborative will make every effort to have this claim reprocessed by the payer. If attempts are unsuccessful and appeals are exhausted, client agrees to pay the amount in full. Full Hearts Collaborative will notify client and charge the payment method on file.
If client’s coverage lapses, changes, or terminates prior to a scheduled visit, client is responsible to cover all charges at the self-pay rate and to inform Full Hearts Collaborative of this change.
Fees for In-Person Services:
● Initial In-Person Visit: $250 – 1.5-2.5 hours
○ Follow up policy: The visit fee includes one week of follow up, to include one phone call and/or one message exchange daily over client portal
● Follow up In-Person visit: $125 – 60-75 min
○ Follow up policy: The visit fee includes one week of follow up, to include up to one phone call and/or one message exchange daily over client portal
*Surcharge for Multiples: $50 for each additional baby and includes additional time as needed
*Surcharge for Travel Outside Service Area depending on distance
● Payment methods accepted:
○ Cash or personal check accepted
○ Credit Card processed through PCI-compliant processor Square Up
Fees for Virtual Services:
● Virtual Initial Virtual Visit: $150 – 60-90 minutes in length
● Virtual Follow up Visit: $125 – 60-75 minutes in length
● Follow up policy: The telemedicine visit fee includes one week of follow up, to include up to one phone call or one message exchange daily over client portal
*Surcharge for Multiples: $50 for each additional baby and includes additional time as needed
Fee for Service Payment Policies
● Full Hearts Collaborative accepts payments at the time of booking.
● All services are non-refundable.
● A discount will be provided for follow up visits.
● A surcharge will be applied to home visits outside my service area.
● A surcharge may be applied if you have twins or higher order multiples to cover the extra length of the visit.
● These surcharges are not eligible for insurance reimbursement.
● A military discount of 30% off listed prices is offered to recognize the need for postnatal support for our military families, and to honor their service.
Telemedicine
Full Hearts Collaborative offers telemedicine services through Practice Better. Security and privacy are assured, please read Practice Better’s privacy polices at https://help.practicebetter.io/hc/en-us/articles/234814027-Privacy-and-Security-on-Practice-Better
● Payment is due at the time of booking and is non-refundable.
Fees:
● Virtual Initial Virtual Visit: $150 – approximately 90 minutes in length
● Virtual Follow up Visit: $125 – 60-75 minutes in length
● Follow up policy: The telemedicine visit fee includes one week of follow up, to include up to one phone call and/or one message exchange daily over client portal. Additional weeks of follow up, including up to one phone call and or message exchange daily, can be purchased for $25 each.
*Visit Surcharge for Multiples: $50 for each additional baby and includes additional time as needed
Scheduling Procedures
• Full Hearts Collaborative offers online scheduling through Practice Better
● Appointments will be made through other means on a case-by-case basis.
● Full Hearts Collaborative reserves the right to reschedule or cancel appointments for any reason.
● Priority scheduling will be given to established clients.
● Priority scheduling will be given to in-network clients.
● New clients may not schedule visits more than 10 days in advance.
● An appointment confirmation will be sent
● By email or text via Practice Better
Client Communications
Phone, Email, and Text Services
Prospective Clients
Full Hearts Collaborative maintains a website at www.fullheartscollaborative.com hosted by Squarespace. Contact phone number and email address are publicly posted. Website has a contact form that accepts submissions; personal information from this contact form is collected, stored, used and disclosed in accordance with the Privacy Policy posted on the site.
When a phone call, email, and/or text comes in from a prospective client, my policy is to:
● Reply within 24 hours
● Send a link to my online scheduler
● Send a link to my website for more information on my services if needed
● I will not provide clinical support or counseling to prospective clients
Current Clients
Clients receive one week of follow up support by phone or secure messaging on client portal as part of their fee for services. After the one week period, an extension can be purchased for $25 each week and will include up to one secure message or phone call per day.
Secure Messaging
Full Hearts Collaborative provides secure messaging to established clients through the electronic medical record platform, Practice Better.
Secure messages will be replied to within 24 hours, but as quickly as possible.
Marketing Communications
Full Hearts Collaborative sends periodic marketing emails through mailchimp. Clients are required to give express consent before being added to an email marketing list. Clients may request to be removed from the list at any point by sending an email to lindsaycastiglione@gmail.com. Full Hearts Collaborative will never sell or rent this marketing list.
Social Media Communications
Lindsay Castiglione may maintain private social media accounts for personal use. Connection or direct message requests made by clients through these platforms will not be accepted.
Full Hearts Collaborative maintains public social media accounts for marketing purposes on the following platforms: Facebook, Instagram, Twitter, YouTube and Pinterest. All photos appear by express permission of the owner of the photo and all persons appearing in the photo. No client photos or videos will be published without express written consent. Clients and/or their minor children will not be named in posts on social media without express written consent.
Full Hearts Collaborative will not provide direct clinical support or counseling or advice on any social media platform, either public or private. Public accounts are for marketing purposes only to offer general information.
Website Communications
Website Terms and Conditions are publicly posted on the website for Full Hearts Collaborative.
Full Hearts Collaborative abides by all applicable federal, provincial, state, and local regulations regarding copyright. No text, image, or graphic content will appear without the express permission of the copyright or trademark holder.
Record Retention Policies
Lindsay Castiglione is subject to the record retention laws of Pennsylvania which state, “The State Board of Medicine requires that MDs retain a minor patient's records for at least seven years from the last date-of-service or one year after the patient's 18th birthday, whichever is longer.”
Clients may request a copy of their chart or that of their minor child at any point during the record retention period. Request must be made in writing to the listed address for Full Hearts Collaborative. Receipt of the request will be acknowledged by Full Hearts Collaborative, and records will be mailed within 30 days of acknowledgement of the request.
Compliance with Privacy Regulations
Full Hearts Collaborative is in compliance with all applicable federal and provincial/state regulations with respect to the use of technology for healthcare.
Our Privacy Policy for personal information and personal health information is publicly posted on the website for Full Hearts Collaborative
Devices
All devices used for client care will be secured by a passcode and/or biometric identification.
Platforms
Full Hearts Collaborative uses Practice Better for client care. The following safeguards are in place.
● Password protection
● Two-factor
● Data Encryption
Services
Full Hearts Collaborative will not use any free cloud-based services for client communication or file storage.
Email services and document storage are provided through:
● G-Suite
Personal Policies
Lindsay Castiglione is up-to-date on all immunizations including but not limited to: Pfizer Covid-19 vaccine, Tdap, and the Flu vaccine.
Lindsay Castiglione actively pursues continuing education related to lactation management, infant and child development, parental wellness, communication skills and cultural competence.
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