WAW Mind and Body, LLC Policies

 Welcome to WAW Mind and Body, LLC! Before you engage with our psychiatric and weight loss services, please carefully read the following terms and conditions. By accessing our services, you agree to abide by these terms and conditions.

• Scope of Services:
  • WAW Mind and Body, LLC provides psychiatric counseling and weight loss consultation services.
  • Our services are intended to support individuals in achieving their mental health and weight loss goals through counseling, guidance, and educational resources.
• Professional Advice:
  • Our services are provided by licensed and experienced professionals in the fields of psychiatry and weight loss counseling.
  • All advice and recommendations provided by our professionals are for informational purposes only and should not be considered a substitute for medical advice or treatment provided by a qualified healthcare provider.
• Confidentiality:
  • We uphold strict confidentiality standards to protect your privacy.
  • Information shared during counseling sessions will be kept confidential, except in cases where disclosure is required by law or necessary to prevent harm to yourself or others.
• Client Responsibilities:
  • It is your responsibility to provide accurate and honest information about your medical history, mental health concerns, and weight loss goals.
  • You agree to actively participate in counseling sessions and follow any recommendations provided by our professionals to the best of your ability.
• Payment and Fees:
  • Payment for services is due at the time of scheduling appointments unless otherwise agreed upon.
  • Fees for services will be clearly outlined and agreed upon before the commencement of any counseling sessions or weight loss programs.
  • All medication sales are final. There are no refunds for services rendered or medication prescribed. 
• Cancellation Policy:
  • We understand that circumstances may arise that require you to reschedule or cancel appointments.
  • Please provide at least 24 hours' notice if you need to cancel or reschedule an appointment to avoid cancellation fees.
• Intellectual Property:
  • All materials provided to you as part of our services, including but not limited to educational resources, handouts, and digital content, are protected by copyright laws.
  • You may not reproduce, distribute, or modify any materials provided to you without the prior written consent of WAW Mind and Body, LLC.
• Disclaimer of Warranties:
  • WAW Mind and Body, LLC makes no representations or warranties of any kind, express or implied, regarding the effectiveness or outcome of our services.
  • Results may vary based on individual circumstances, and we cannot guarantee specific outcomes.
• Limitation of Liability:
  • In no event shall WAW Mind and Body, LLC be liable for any indirect, consequential, special, or punitive damages arising out of or related to the use of our services.
• Governing Law:
  • These terms and conditions shall be governed by and construed in accordance with the laws of the State of Wisconsin, without regard to its conflict of law principles.
• Modification of Terms:
  • WAW Mind and Body, LLC reserves the right to modify these terms and conditions at any time without prior notice. Any changes will be effective immediately upon posting on our website.

By accessing our services, you acknowledge that you have read, understood, and agree to be bound by these terms and conditions. If you do not agree with any part of these terms, you may not access our services. 

Terms and Conditions

Welcome to WAW Mind and Body, LLC! Before you engage with our psychiatric and weight loss services, please carefully read the following terms and conditions. By accessing our services, you agree to abide by these terms and conditions.

• Scope of Services:
  • WAW Mind and Body, LLC provides psychiatric counseling and weight loss consultation services.
  • Our services are intended to support individuals in achieving their mental health and weight loss goals through counseling, guidance, and educational resources.
• Professional Advice:
  • Our services are provided by licensed and experienced professionals in the fields of psychiatry and weight loss counseling.
  • All advice and recommendations provided by our professionals are for informational purposes only and should not be considered a substitute for medical advice or treatment provided by a qualified healthcare provider.
• Confidentiality:
  • We uphold strict confidentiality standards to protect your privacy.
  • Information shared during counseling sessions will be kept confidential, except in cases where disclosure is required by law or necessary to prevent harm to yourself or others.
• Client Responsibilities:
  • It is your responsibility to provide accurate and honest information about your medical history, mental health concerns, and weight loss goals.
  • You agree to actively participate in counseling sessions and follow any recommendations provided by our professionals to the best of your ability.
• Payment and Fees:
  • Payment for services is due at the time of scheduling appointments unless otherwise agreed upon.
  • Fees for services will be clearly outlined and agreed upon before the commencement of any counseling sessions or weight loss programs.
  • All medication sales are final. There are no refunds for services rendered or medication prescribed. 
• Cancellation Policy:
  • We understand that circumstances may arise that require you to reschedule or cancel appointments.
  • Please provide at least 24 hours' notice if you need to cancel or reschedule an appointment to avoid cancellation fees.
• Intellectual Property:
  • All materials provided to you as part of our services, including but not limited to educational resources, handouts, and digital content, are protected by copyright laws.
  • You may not reproduce, distribute, or modify any materials provided to you without the prior written consent of WAW Mind and Body, LLC.
• Disclaimer of Warranties:
  • WAW Mind and Body, LLC makes no representations or warranties of any kind, express or implied, regarding the effectiveness or outcome of our services.
  • Results may vary based on individual circumstances, and we cannot guarantee specific outcomes.
• Limitation of Liability:
  • In no event shall WAW Mind and Body, LLC be liable for any indirect, consequential, special, or punitive damages arising out of or related to the use of our services.
• Governing Law:
  • These terms and conditions shall be governed by and construed in accordance with the laws of the State of Wisconsin, without regard to its conflict of law principles.
• Modification of Terms:
  • WAW Mind and Body, LLC reserves the right to modify these terms and conditions at any time without prior notice. Any changes will be effective immediately upon posting on our website.

By accessing our services, you acknowledge that you have read, understood, and agree to be bound by these terms and conditions. If you do not agree with any part of these terms, you may not access our services

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.
 

This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment or health care operations (TPO) and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. "Protected health information" is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.
 

1. Uses and Disclosures of Protected Health Information
 

Uses and Disclosures of Protected Health Information
 

Your protected health information may be used and disclosed by your physician, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you, to pay your health care bills, to support the operation of the physician's practice, and any other use required by law.
 

Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with a third party. For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you. For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you.
 

Payment: Your protected health information will be used as needed, to obtain payment for your health care services. For example, obtaining approval for a hospital stay may require that your relevant protected health information be disclosed to the health plan to obtain approval for the hospital admission.
 

Healthcare Operations: We may use or disclose, as needed, your protected health information in order to support the business activities of your physician's practice. These activities include, but are not limited to, quality assessment activities, employee review activities, training of medical students, licensing, and conducting or arranging for other business activities. For example, we may disclose your protected health information to medical school students that see patients at our office. In addition, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your physician. We may also call you by name in the waiting room when your physician is ready to see you. We may use or disclose your protected health information, as necessary, to contact you to remind you of your appointment.
 

We may use or disclose your protected health information in the following situations without your authorization. These situations include: as Required By Law, Public Health issues as required by law, Communicable Diseases: Health Oversight: Abuse or Neglect: Food and Drug Administration requirements: Legal Proceedings: Law Enforcement: Coroners, Funeral Directors, and Organ Donation: Research: Criminal Activity: Military Activity and National Security: Workers' Compensation: Inmates: Required Uses and Disclosures: Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500.
 

Other Permitted and Required Uses and Disclosures Will be made only with your consent, authorization or opportunity to object unless required by law.
You may revoke this authorization, at any time, in writing, except to the extent that your physician or the physician's practice has taken action in reliance on the use or disclosure indicated in the authorization.
 

Your Rights
The following is a statement of your rights with respect to your protected health information.
 

You have the right to inspect and copy your protected health information. Under federal law, however, you may not inspect or copy the following records; psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to protected health information.
 

You have the right to request a restriction of your protected health information. This means you may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply.
 

Your physician is not required to agree to a restriction that you may request. If the provider believes it is in your best interest to permit use and disclosure of your protected health information, your protected health information will not be restricted. You then have the right to use another Healthcare Professional.
 

You have the right to request to receive confidential communications from us by alternative means or at an alternative location. You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice alternatively i.e. electronically.
 

You may have the right to have your physician amend your protected health information. If we deny your request for amendment, you have the right to file a statement of a disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal.
 

You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information.
 

We reserve the right to change the terms of this notice and will inform you by mail of any changes. You then have the right to object or withdraw as provided in this notice.
 

Complaints
 

You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy contact of your complaint. We will not retaliate against you for filing a complaint.
 

This notice was published and becomes effective on/or before May 31st, 2017.
 

We are required by law to maintain the privacy of, and provide individuals with, this notice of our legal duties and privacy practices with respect to protected health information. If you have any objections to this form, please ask to speak with our HIPAA Compliance Officer in person or by phone at our Main Phone Number (619) 220 - 0878

AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION (PHI)
By signing this form, I am agreeing in accordance with the Federal Government Privacy Rules implemented through the Healthcare Portability Act of 1996 (HIPAA), I hereby authorize WAW Mind and Body (henceforth referred to as "the practice"), to release any and all medical records concerning my care to any physician, hospital or other health care professional providing care to me at any time.

ACKNOWLEDGEMENT OF PRIVACY PRACTICES NOTICE RECEIPT
By signing this form, I understand that under the Healthcare Portability Act of 1996 (HIPAA) I have certain rights to privacy regarding my Protected Health Information (PHI). I understand that this information can and will be used to:

• Conduct, plan, and direct my treatment and follow-up among the multiple healthcare providers who may be involved in my treatment directly and indirectly
• Obtain payment from Third-Party Payers
• Conduct normal healthcare operations such as quality assessments and physician certifications

I have received, read, and understand your Notice Of Privacy Practices containing a more complete description of the uses and disclosures of my PHI. I understand that this organization has the right to change its Notice of Privacy Practices from time to time and that I may contact this organization at any time at the address above to obtain a current that I may contact this organization at any time at the address above to obtain a current copy of the Notice of Private Practices.
 

I understand that I may request in writing how my PHI is used or disclosed to carry out treatment, payment, or health care operations. I also understand you are not required to agree to my requested restrictions, but if you do agree, then you are bound to abide by such restrictions. 

 Compounded drugs are permitted to be prescribed under federal law, but are not FDA-approved and do not undergo safety, effectiveness, or manufacturing review. Your Ro-affiliated provider may recommend certain doses of compounded semaglutide based on your medical evaluation.

Warning: Risk of Thyroid C-Cell Tumors

• In studies with mice and rats, semaglutide (the active ingredient in Wegovy and Ozempic) caused thyroid tumors, including thyroid cancer. It is not known if semaglutide will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people. Tell your provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. 
• Do not use semaglutide if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).

What is semaglutide used for?

Semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist for chronic weight management, along with a reduced calorie diet and increased physical activity, for people with an initial body mass index (BMI) of:

• 30 kg/m2 or greater (obesity) or
• 27 kg/m2 or greater (overweight) in the presence of at least one weight-related comorbid condition (e.g., hypertension, type 2 diabetes mellitus, or dyslipidemia).

Limitations of Use:

• Semaglutide should not be used in combination with other semaglutide-containing products or any other GLP-1 receptor agonist
• The safety and efficacy of coadministration with other products for weight loss have not been established
• Semaglutide has not been studied in patients with a history of pancreatitis
• Semaglutide should not be used in patients with type 1 diabetes mellitus

Who should not use semaglutide?

Do not use semaglutide if:

• You or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
• You have a known allergic reaction to semaglutide (the active ingredient in Wegovy or Ozempic).

How should semaglutide be administered?

You can take semaglutide with or without food. The medication is self-administered as a subcutaneous injection in the stomach, thigh, or upper arm once a week on the same day every week. For detailed instructions on how to administer your dose, refer to your treatment plan or reach out to your Ro-affiliated provider. They will guide you on a treatment regimen that may include an increase in dose every four weeks.

You should not change your dosing regimen or stop taking semaglutide as prescribed without discussing with your provider first. 

What should I tell my Ro-affiliated provider before using semaglutide?

• Semaglutide has certain drug interactions. It’s important to tell your Ro-affiliated provider all of the medications you are currently taking, including prescription, over-the-counter medications, vitamins, and herbal and dietary supplements.

Some medications to watch out for include:

• Medications used to treat type 1 or type 2 diabetes, including insulin or sulfonylureas (such as Amaryl or Glucotrol XL)
• Semaglutide causes a delay in gastric emptying, so it has the potential to impact the absorption of medications that are taken by mouth at the same time. Your provider can guide you on how to schedule your medications.
• Other medications in the same drug class, including Wegovy, Ozempic, Saxenda, Victoza, Trulicity, Byetta, or Bydureon
• If you’re using other products for weight loss, including dietary supplements

It’s important to share your entire medical history with your provider. In particular, tell your provider if you have or have a past history of:

• Type 1 or type 2 diabetes
• Thyroid cancer
• Pancreatitis
• Kidney disease
• Diabetic retinopathy
• Depression
• Suicidal thoughts or behavior
• Ileus

__Tell your provider if you are pregnant, planning to become pregnant, or breastfeeding. __

• If you are pregnant: Semaglutide should not be used during pregnancy. Based on animal studies, there may be potential risks to an unborn baby from exposure to semaglutide during pregnancy. There is no benefit to weight loss during pregnancy and it may cause harm to the unborn baby.
• If you are breastfeeding: Semaglutide was found in the milk of lactating rats. Tell your Ro-affiliated provider if you are breastfeeding before you start semaglutide.

Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm, including, in some cases, death.

What are the most serious side effects that I or a caregiver should monitor for when taking semaglutide?

If you are experiencing a medical emergency, call 911 or seek immediate medical attention.

These serious side effects can occur with semaglutide. You or a caregiver should carefully monitor for these side effects, especially in the beginning of treatment and with dose changes.

• Thyroid C-Cell Tumors: In mice and rats, semaglutide (the active ingredient in Wegovy and Ozempic) caused an increase in thyroid C-cell tumors, including medullary thyroid carcinoma (MTC). It is unknown whether semaglutide causes thyroid C-cell tumors in humans. There were cases of MTC reported in patients who took liraglutide (the active ingredient in Victoza and Saxenda) after the drug was put on the market. Semaglutide should not be used if you have a family history of MTC or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Tell your provider right away if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. 
• Inflammation of Pancreas (Acute Pancreatitis): Monitor for signs of acute pancreatitis, including severe abdominal pain that does not go away, sometimes radiating to the back, with or without vomiting.
• Acute Gallbladder Disease: Semaglutide may cause gallbladder problems, including gallstones. Some gallbladder problems require surgery. Tell your provider right away if you have pain in your upper stomach, yellowing of skin or eyes (jaundice), fever, or clay-colored stools.
• Low Blood Sugar (hypoglycemia): Semaglutide lowers blood glucose. It can cause too low blood sugar in patients with type 2 diabetes who also take another glucose control medication. Monitor your blood sugar and watch out for signs of too low blood sugar such as dizziness, blurred vision, mood changes, sweating, or fast heartbeat.
• Acute Kidney Injury: In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration) which may cause kidney problems to get worse. It is important for you to drink plenty of water to help reduce your chance of dehydration.
• Serious Allergic Reactions: Stop using semaglutide right away if you experience symptoms of a serious allergic reaction, including swelling of your face, lips, tongue or throat, severe rash or itching, very rapid heartbeat, problems breathing or swallowing, or fainting or feeling dizzy.
• Diabetic Retinopathy Complications in Patients with Type 2 Diabetes: If you have type 2 diabetes, tell your provider right away if you experience changes in vision.
• Increase in Heart Rate: Tell your provider right away if you have a racing heartbeat while at rest. 
• Suicidal Behavior and Ideation: You should pay attention to any mental health changes, especially sudden changes in your mood, behaviors, thoughts, or feelings. Call your healthcare provider right away if you have any mental changes that are new, worse, or worry you.
• Never Share Needles or Syringes: Sharing of needles or syringes poses a risk of infection. 

What are the most common side effects of semaglutide?

• Nausea
• Diarrhea
• Vomiting
• Constipation
• Abdominal pain
• Headache
• Fatigue
• Dyspepsia
• Dizziness
• Abdominal distension
• Eructation
• Hypoglycemia in patients with type 2 diabetes
• Flatulence
• Gastroenteritis
• Gastroesophageal reflux disease

You are encouraged to report negative side effects of prescription products: Contact FDA MedWatch at 1-800-FDA-1088 or visit www.fda.gov/medwatch

This information is not comprehensive. Please see the full Consumer Medical Information for complete safety information.

• All sales are final
• No refunds on services rendered or medication prescribed