Patient Policies

Our goal at Be Alive Infusion & Wellness is to provide you with the highest level of personalized care. We are committed to helping you achieve optimal health.

It is important to read all of this information carefully and check off that you acknowledge and agree to our policies. 

To schedule an appointment, please send us an appointment request through the patient portal. 

Address and Parking

San Rafael

2144 4th Street, Suite A

San Rafael, CA 94901

Phone Calls, Messages & Faxes

  1. We are a technology enabled practice that is 100% paperless.
  2. To reach Be Alive Infusion & Wellness, please send messages through the patient portal.  This is the most efficient way to receive a response to your inquiry.
  3. Our fax number is 415-737-1445
  4. If you wish to place a phone call:  call 415-216-0505
  5. If you have a medical emergency, call 911 or go directly to the nearest emergency room.
  6. When leaving a message, please be brief and include the following information:
    • Full name
    • Reason for call
    • Best time to be called back if this is necessary
    • Phone number(s)
    • Email address (if desired)

We offer nutritional IV  therapy in the context of your entire health picture.  Your first step will be to establish care with one of our providers. Which can be done on the same day as your infusion.

Please follow the steps below to complete your new patient registration.

Prior to scheduling for an IV infusion you will need to schedule an intake appointment.

 Once you have completed your registration &  scheduled your intake  You will receive a confirmation and information message in the secure messenger.

Step 1 – Registration

Click on the link below and register with Be Alive Infusion and Wellness Center
https://bealiveportal.md-hq.com/registration

During this registration process you will create a username and password for future use.
You will receive an email to confirm your email address.

Complete the registration form sign with your finger or mouse and Select .    

Login with your username and password you created during the registration process. 

https://bealiveportal.md-hq.com

Step 2 – Confirm Account Information

Confirm your  Account Details are correct

& Please upload a picture (on the right side of screen)


Step 3 – Add Payment method

Add a Credit Card to your account by selecting 

Then click 

Step 4  -Complete the Questionnaires

Click on “” (on the right side of screen)
Login with username and password you created during registration process
Read and/or complete all sections.

Step 5 – Request Initial Consult

Cost $250 – Comes with complimentary “Boost Infusion” (valued at $85)

Click on “” (on the right side of screen)

Choose either Stephanie Daniel D.O or Lisa Deptula P.A.

Select a date and a time for your Initial Intake

Step 6 – Scheduling your IV Appointment 

Click on “” (on the right side of screen)

If you plan to do your Intake and IV infusion on the same day, ensure your Infusion is scheduled for at least 45 min after your intake appointment 

Select Mimi Duffy select IV Infusion, pick your date and time

We will send you communication via the Patient Portal   to confirm your appointment.

Please feel free to contact us with any questions.  Online Chat

We look forward to serving you!
Sincerely,
The Be Alive Infusion & Wellness Family

Phone/Video Appointments:

Be Alive Infusion & Wellness offers patients the ability to meet via the Zoom.us video conferencing platform for your Initial Intake.

Zoom places security as the highest priority in the lifecycle operations of its public and hybrid cloud networks. Zoom strives to continually provide a robust set of security features to meet the requirements of businesses for safe and secure collaboration.

Host and Client authenticated meeting: A host is required to authenticate (via https) to the Zoom site with their user credentials (ID and password) to start a meeting. Client authentication process uses a unique per-client, per-session token to confirm the identity of each participant attempting to join a meeting. Each session has a unique set of session parameters that are generated by Zoom. Each authenticated participant must have access to these session parameters in conjunction with the unique session token in order to successfully join the meeting.”

For more information about Zoom.us security and privacy, please see: https://zoom.us/docs/doc/Zoom-Security-White-Paper.pdf

Agreement

I have been informed of and understand the risks and procedures involved with using the videoconferencing technology, Zoom.us. I agree to the terms listed above and I hereby voluntarily consent to the use of Zoom.us for sessions with my provider. I agree that Be Alive Infusion & Wellness should not be held liable in the event that any outside party passes Zoom.us’s security and discovers personal or confidential information.

***  You must provide your consent to be able to use Virtual Video Appointments  ***

Cancellation of Appointments:

For a Free Cancellation, the request must be made 48 hours in advance.

If cancellation is at between  24 & 48 hours hours prior to appointment you will be assessed a fee of 1/2 the cost of the treatment you reserved.

Cancellation under 24 hours will be assessed the full charge of the scheduled treatment.

Cancellations made by regular email or phone are not considered valid.

Prescription Refill Request:

It may take up to 1 week to process a prescription refill. Please plan ahead to avoid any interruption in your medications. 

Prescription refills must be faxed to our office by your pharmacy. Our fax # is 415-737-1445. 

We cannot guarantee that refill requests sent another way will be seen and addressed in a timely manner.

 

Medical Records and Forms:

The cost of having Medical Records sent to you or your doctor is $100. You may download any available lab work and patient notes from the portal directly free of charge.

Medical records can only be released with your authorization. A medical records release form is available through the patient portal.

Please allow 7-10 business after you have signed the release form to receive your records.

You are responsible for obtaining previous medical records from other physicians or health care providers, which can be uploaded to your patient portal.

 

Payment Options:

Payment is due at the time of service. Our office accepts Visa, MasterCard, American Express and Discover.

When you schedule an initial visit, we request a credit card on file to hold the appointment for you.

No charges will be applied to your credit card unless you miss or cancel an appointment without proper notice.

On the day of your scheduled appointment, all charges for consultation, as well as laboratory testing that does not need to be paid directly by you will be itemized and reviewed with you.

Payment is due on the day of service.

We also accept payment from Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA).  Be Alive Infusion & Wellness does not accept insurance or Medicare and we cannot assure you that services (office visits, video/phone consultations or lab tests) will be reimbursed.

You will be provided with diagnosis and procedure codes via a superbill, to assist you with possible insurance reimbursement.

** Please note that we are not Medicare providers and are opted out of the Medicare program. Our services cannot be submitted to Medicare for reimbursement.

If you have an HSA (Health Savings Account), functional medicine consultations and prescribed supplements are allowable, tax-free expenditures. Health Savings Accounts are a new option for health insurance and they have two parts. The first part is a health insurance policy that covers large hospital bills. The second part of the Health Savings Account is an investment account or retirement account from which you can withdraw money tax-free for medical care. Unused money accumulates with tax-free interest until retirement, when you can withdraw for any purpose and pay normal income taxes.

We strongly urge you to look into an HSA as an alternative insurance choice. To find out more, please go to www.hsainsider.com.

We recommend that everyone ask their insurance providers what type of out-of-network coverage they offer prior to using our services.

Be Alive Infusion & Wellness  does not accept insurance.

We provide a Superbill, which can be submitted to your insurance company for reimbursement if you have an insurance that provides an out-of-network benefit.

If you are unsure, call the member services number on the back of your card and inquire about your plan. You can let them know you are planning an appointment with an out-of-network physician and want to know what percentage of your visit will be eligible for reimbursement.

Again, HSA and FSA accounts are accepted.

Portal Messaging communication with you will be limited to answering questions regarding side effects or clarification of therapy and or logistical questions. 

Any communication that requires clinical decision-making will best be addressed in a consultation.

Email Policy:

Email communication is done only through the patient portal and will be limited to answering questions regarding side effects, clarification of therapy or logistical questions. Any communication that requires clinical decision-making will best be addressed in an appointment. The best determinant is: does your question require a “yes” or “no” answer. If so, patient portal communication is welcomed and we will attempt to address your inquiry within 48 business hours or as soon as possible.

All patient portal correspondence should be done via our secure messaging system in the patient portal, MD-HQ, once you are an established patient.