Authorization for Release of Information (from your current provider to Lifetime Insight)
To be able to address a psychiatric issue that a person may have, we thoroughly assess each person and ensure we have the diagnosis as precise as possible. In order to accomplish this, we start with a good history that contains medical information, current and previous medications and the ability to tolerate them, social and personal history, psychiatric history, substance use history, family history, and the patient’s symptoms and (sometimes family’s) concerns. This is not a history that can be done quickly if it is to be done comprehensively. Therefore, we ask that all patients fill out forms prior to coming in so that Dr. Hovav has a chance to review them before she begins her personal interview with the patient. Failure to fill out the forms in advance may cause the appointment to be canceled. Initial interviews typically last about an hour, and in some circumstances, laboratory testing may be necessary prior to beginning medication treatment. When treating older adults, involving significant others will help to define various problems and therefore reach a satisfactory and effective treatment. Receiving previous records is a crucial part of making a proper assessment, and so we urge each patient to sign an authorization for release of information. When arriving at your first appointment, please be sure to come at least 20 minutes in advance.
We accept Blue Cross Blue Shield, Cigna, Midlands Choice, Aetna, Medica, Medicare, Coventry (MHNet), Humana, and Tricare. If we are not in network with your insurance company, we can provide you with a "superbill" (a statement to give to your insurance) so that you can submit for out-of-network coverage, if you have out-of-network benefits. For uninsured patients, we offer affordable rates. Before you decide if you would like to be a patient at Lifetime Insight, we urge you to read our Office Policies and Procedures, check the services we provide (and those we don't), and learn a little about our Staff.
We are happy to offer our patients a secure patient portal, where you can fill out all your forms online, request medication refills, see your laboratory results, ask your physician questions, and request appointment times – all through your phone, tablet, or desktop. In order to receive a username, we will register you in our system and generate a username and a temporary password for you. Once you are in the patient portal, make sure to fill out the legal forms and the New Patient History Form. If you are experiencing problems with the portal, call us for support prior to filling out the forms here.
Our psychiatrist is currently accepting new patients. If you have specific questions, don’t hesitate to contact us directly, and our knowledgeable and friendly staff will be happy to help you.
DO NOT fill these forms unless you are unable to do so on the secure Patient Portal and have been instructed to do so by our clinical staff.
Current and Registered Patients:do NOT use this form. Messages will not be replied to or acknowledged. You must use the Secure Patient Portal. For help with the portal, please call our office.
These forms are for those who are already existing patients.