About

Mindful Choice Institute

Welcome to Mindful Choice!!  I am the CEO and owner of this private practice that was founded in 2014.  My goal for Mindful Choice is to provide stigma free services to patients in the comfort of their homes.  I am of the mindset that we all deserve equal treatment when it comes to mental wellness. For those that are unable to to find a provider nearby or have to wait months and months for an appointment, then telepsychiatry is for you.  All you need is internet access and an email address to make an appointment.

Serving clients ages 5 and up in Arizona, Colorado, New Mexico, and New York.

~Hablo espanol~

thCARUZOAZ.jpg
Practice Policies and Permissions

Greetings!!

 

Allow me to introduce you to our company Mindful Choice Institute.

 

Mindful Choice Institute provides Psychiatric Services and Telepsychiatry services to patients in Arizona, New Mexico, Colorado, and New York. We are based out of Green Valley, Arizona and see patients face to face in our 210 W Continental Road Suite 244-A office, but also provide telepsychiatry services to your home if desired. 

 

We understand that caring for patients with mental illness and substance abuse disorders is a difficult task and are ready to provide individualized services to each patient. Since each patient is different in their level of acuity, a well-rounded intervention approach is needed for remission of symptoms and recovery from addiction.

 

As a board-certified Psychiatric Mental Health Nurse Practitioner I am doctoral prepared to provide Medication Assisted Treatment as well as buprenorphine to the right patient.  

 

Scheduling appointments is easy.  Patients can independently make their appointments on line, pay their co-pay and fill out intake forms prior to the visit or you can call to schedule an appointment.  We are currently working on a concierge partnership with clients who do not have insurance and pay out of pocket for their treatment.  This service is a membership which allows patients to schedule 2-3 visits per month for a flat monthly fee.  Membership also provides online education and tools patients can use to help manage their symptoms and prevent crisis, hospitalization or relapse.   

 

If you have any questions, feel free to contact the office at 520-477-1180 or leave a message on the website and we will respond within 24 hours.  Please fax referrals to 870-258-6225. 

 

We look forward to working with you and providing personalized treatment.

Be Safe!!

 

 

Georgina Rotzler DNP APRN PMHNP-BC

­­­­­­POLICIES AND PROCEDURES

Clients must complete and sign this form prior to your first appointment. Office fees will be highlighted. These policies and procedures will establish the expectations you will receive from Mindful Choice Institute and also what is expected from you as the client.

  1. APPOINTMENTS: Please arrive to your appointment on time.

    • Late arrival of 10 minutes or greater for any appointment may need to be rescheduled. If the appointment must be rescheduled, then the appointment is considered missed without cancellation $90.00 for the appointment.

    • Rescheduling appointments: You may cancel your appointment within 24 hours prior to the appointment without penalty. If you need to reschedule please call the office for assistance.

    • MISSED APPOINTMENT: If you have not cancelled your appointment in advance, you (not your insurance company), will be billed $90.00 for the appointment.

    • MEDICATION REFILLS AND OTHER CLINICAL NEEDS: If you have a life threatening or emergent need please go to your nearest emergency room or call 911.

    • If you have a clinical/medication need please call the office 520-477-1180 and follow the prompts to leave a brief message. Most calls left during business days (Monday-Thursday) are returned by the next business day. Non-urgent calls left on Friday, Saturday or Sunday will be returned on Monday.

    • Prescription Refills: During office appointments clients are given enough medication until their next appointment.  Therefore, refill requests outside of office appointments are subject to a $25.00 fee.

    • No Text Messages: Please note that text messages are not accepted as communication.  Please use the patient portal or call the office.

    • Email Response: Emails are addressed within 24 hours therefore it is recommended you call the office for any needs.

    • Non-secure email disclosure: Emails sent to drrotzler@mindfulchoiceinstitute.com may not be secure, therefore use at your own risk.

    • INSURANCE: A current insurance card must be presented at the first visit and when your insurance has changed. If not, you will be responsible for the self-pay rate of the appointment.

    •  If Mindful Choice Institute is not contracted with your insurance carrier or your visit is a non-covered service, you are responsible for the charges.

  2. CREDIT CARDS:

    • If you choose to pay with a credit card the information will be stored in a secure vault within our electronic health record and considered on file.

    • I hereby authorize Dr. Georgina Rotzler to charge the credit card on file for balances more than 60 days in arrears. This includes payments for missed appointments and fees not reimbursed or covered by insurance. 

  3. PAST DUE ACCOUNTS:

    • Any remaining balance after insurance has been filed is your responsibility.

    • You will receive two bills from Mindful Choice Institute. If you have not paid in full within 60 days your account will be turned over to a collection agency. If your account is sent to a collection attorney, they will report your past due status to a Credit Reporting Agency and you will be responsible for their fees.  

    • I agree that Mindful Choice Institute may contact me by telephone, electronic messages, mail or cell phone as provided by me or person on my behalf or that are identified as mine at a later date. I understand that these communications may be from this medical provider and/or those providing services within the facilities of, or on behalf of, this medical provider including communications about the scheduling, treatment or payment for services rendered. These calls include but are not limited to using an automatic telephone dialing system, artificial or prerecorded voice or calls to a telephone number assigned to a paging service, cellular telephone service, specialized mobile radio service, or other radio common carrier service (“Authorized Communications”). I understand that my agreement to the terms of the Patient Consent and Assignment of Insurance Benefits is not a condition of willingness to provide treatment to me. I consent to any and all of the authorized communication methods even if I will incur a fee or a cost to receive such communications. I agree that the consent and authorizations I have provided herein may be revoked only in writing addressed to the relevant entity.

  4. COMPLETION OF FORMS: A fee is charged for the completion of some forms including the following but not limited to: Disability, FMLA, and Leave of Absence, also Letters regarding flying and or airline tickets, coverage of medications and letters to employers. The client will always be notified of any charges upfront and payment may be requested prior to the release of the requested forms.

This is an agreement between you (the client or responsible party of the client) and Mindful Choice Institute. 

Suboxone Contract

 

I agree to accept the following treatment contract for buprenorphine office-based opioid addiction treatment:

 

  1. I will take the medication exactly as prescribed by my provider.  If I need to make changes I will speak with my provider first. Taking more buprenorphine than prescribed is medication misuse and may result in discharge from treatment, supervised dosing at the clinic, referral to a higher level of care, or change in medication based on appropriate evaluation.

  2. I will keep my medication in a safe and secure place such as a lock box.  I understand that if medication is lost or stolen it will not be replaced.

  3. I will keep my provider informed of all my medications and will not take controlled substances prescribed by other providers without discussing it first with my provider.

  4. I will not take medication prescribed to other patients and will not give my medication to other patients.

  5. I will not use illicit substances of any kind or risk termination of treatment.

  6. I will keep all my appointments and understand that medication will not ne refilled without an appointment.

  7. I agree to random urinalysis testing or random pill/film count.  If I choose not to provide a sample, if the sample is suspicious of being tainted or in the event of intoxication or suspicion of diversion of buprenorphine, I understand that I may be discharged from treatment.

  8. I understand that medication alone is not sufficient treatment for addiction, I will therefore attend minimally 10 therapy sessions and create a recovery treatment plan with my therapist.  This treatment plan should include addiction education and a relapse prevention plan.

  9. FOR WOMEN ONLY: I understand that Suboxone is not approved for pregnant or breastfeeding women, I agree to communicate my plan to become pregnant with my provider in order to safely replace my medication Subutex or be referred to a methadone clinic.

  10. Violence, threatening language, inappropriate behavior towards staff or provider, or illegal activity at the office or otherwise will result in treatment termination from our clinic.

Mission Statement 

Mindful Choice Institute provides personalized, quality treatment that achieves remission of symptoms in a private, caring and thoughtful environment.   

Vision 

To reduce stigma and promote education for behavioral health patients across the lifespan 

Values 

Customer Service   

Respect  

Excellence  

Responsibility 

Principal Providers 

Dr. Georgina Rotzler DNP APRN PMHNP-BC — CEO/owner, primary psychiatric provider 

Viridiana Marinelarena — Office Manager 

 

Legal Structure 

Mindful Choice Institute is an S Corporation, incorporated in Sahuarita, Arizona in 2018

Mindful Choice Institute will offer its services at a half hour or hourly rate using the following session categories and rates: 

  • Psychiatric Evaluation $300

  • Medication management $100

  • Psychotherapy Individual CBT $100.00

  • Psychotherapy family $150.00

  • Sliding fee -Based on income 

  • Nursing Intervention $50.00

  • After hour calls or crisis Intervention that leads to an ER or inpatient visit $300.00

  • Documents to be filled out and faxed $5.00 per page

  • Transfer chart to another provider $25.00