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Our FAQ contains information about what you can expect when you choose to have pathfinder health services treat your addiction.

What is "Telemedicine"?

Telemedicine is the use of HIPAA secure video-conferencing to connect you to your care team (physician, counselor, recovery coach, etc.).  If you have access to an internet connection, a smartphone (iPhone, or Android), a tablet, or a computer, you can participate in our telemedicine program.

 

After an initial in-person intake visit at our discrete office location in Nashville, TN you will be treated exclusively via telemedicine.  Of course if you prefer to meet in person and live locally in the Nashville area, in-person follow-up visits can be arranged.

How do you drug test patients who are on "Telemedicine" program

Drug testing is an important tool in getting patients into long term recovery.  There are several “point-of-care” (immediate result) commercial drug tests available via online distributors (ie..Amazon.com) that will be utilized as part of your treatment plan.

How does Tailwind Recovery protect my patient confidentiality?

Tailwind Recovery follows federal regulations outlining patient confidentiality in drug and alcohol addiction treatment facilities.  These are known as “42 CFR Part 2”.  In layman’s terms, this complex federal law was created to protect your rights and confidentiality as a patient undergoing treatment for substance use disorder (i.e. addiction).  42 CFR Part 2 requires patient consent for disclosure of protected health information even for the purposes of treatment, payment, or health care operations.  Consent for disclosure must be in writing.  During your initial intake visit you will be asked to sign a disclosure that will allow us to communicate to our participating pharmacies so that we may prescribe any necessary medications in the course of your treatment and abide by 42 CFR Part 2.  The key thing to remember is 42 CFR Part 2 is a good thing, it was designed to protect you, the patient.  The patient confidentiality laws surrounding 42 CFR Part 2 are greater than the traditional HIPPA laws you are familiar with from other healthcare providers.  42 CFR Part 2 protects you so that you can be honest and open with your addiction medicine physician about your history, symptoms, etc…so that we may provide excellent care to you on your road to recovery.

What form of payment does Tailwind Recovery accept?

All payments for service are via credit/debit card in advance of your appointment date.

Do you take Medicaid, Medicare, TennCare?

No.  Please text with our patient care representatives at (615)797-8155.  We are happy to refer you to a local provider that is accepting Medicaid/Medicare insurance for medication assisted treatment. Tailwind Recovery is unable to treat patients who are covered by Medicaid/Medicare.

Do you take private insurance?

Tailwind Recovery does not participate in-network with any private/commercial insurance plans.  Our office staff can generate electronic health record “Superbills” for patients to seek reimbursement directly from their private/commercial insurer.

What is included in the monthly fee?

Your monthly fee includes access to our unique bundle of services:  Medication management by a physician, counseling by a certified provider, referral to social support system, technical support with pharmacy issues, 24/7 text based access to your care team, and access to our internet based recovery resources.  The number of times you are required to meet with your care team per month is dependent upon where you are in the recovery process.  Initially most patients meet weekly with their care team as they stabilize.  Once stabilized, bi-weekly and monthly follow-up schedules are offered when appropriate.

Are there any additional fees I need to know about?

Yes.  Patients will be required to purchase inexpensive point of care drug testing kits to participate in our telemedicine addiction treatment programs.    Your addiction medicine physician will utilize point-of-care urine & saliva testing which is immune-assay based.  The cost for this point-of-care testing kits is the responsibility of the patient and can typically be purchased via Amazon.com for a small fee.  

How do I make an appointment?

Click the link below.  If you have questions, feel free to text our appointment coordinators at (615)797-8155

 

Schedule appointment

I have to cancel / reschedule my appointment. What should I do?

We ask that you provide Tailwind Recovery with 72 hours advanced notice that you would like to cancel or reschedule.   Please abide by the 72 hour cancellation/reschedule policy to allow us to schedule one of the patients on our waiting list.

Can all addictions be treated as an outpatient at Tailwind Recovery?

No.  Sometimes a patient has such severe addiction, and multiple co-occurring medical conditions that it is not safe to treat the patient as an outpatient.  Our physicians utilize the ASAM (American Society of Addiction Medicine) Placement Criteria to determine the appropriate level of care for each individual patient.  Upon evaluation, if it is discovered that you would benefit from inpatient or intensive outpatient addiction medicine treatment, appropriate referral will be made to a local treatment center that specializes in inpatient treatment. When you have completed your intpatient treatment, we would be happy to continue your care as an outpatient at Tailwind Recovery and coordinate care with your inpatient physician to ensure a smooth transition and maintenance of your recovery.

What type of addictions does Tailwind Recovery Treat?

Our American Board of Addiction Medicine certified physicians are trained to diagnose and treat all types of addiction, including: alcohol, tobacco, sedative, opioid, stimulant, and behavioral addictions.

What is involved in treating my addiction?

Depends on the individual patient and the addiction.  If it is an addiction that has a known withdrawal / craving syndrome (ie…sedative, opioid, tobacco, alcohol) your physician will likely use an FDA approved medication to help control the symptoms of withdrawal.  Once you are stabilized, behavioral therapy in the form of counseling, 12-step facilitation, group therapy, etc….will be used to address the behavioral aspects of your addiction in an effort to get you into long-term recovery.

What if I am addicted to multiple substances?

Many patients have multiple addictions.  For example, a patient may be addicted to cigarettes (tobacco/nicotine) and opioids at the same time.  The physicians at Tailwind Recovery are trained to treat patients with multiple co-occurring addictions.  

Do I have to attend 12-step facilitation program if I am getting counseling by my addiction medicine physician or in-house drug, addiction counselor?

Not initially while you are stabilized, but participation in a 12-step facilitation is preferred.  These programs are free to the Patient.  Our website provides direct, easy access to a wide variety of local/regional 12 step programs.  The data is clear and convincing.  If you really want to deal with your addiction you should be engaged with a social support group such as 12 step.  If you have a concern about participating in such programs, please discuss with your addiction medicine physician.

Can I share my medications with friends, and family who are also suffering from addiction?

No.  This is called diversion, and is illegal.  A prescription written by a physician is for a specific patient as part of a comprehensive addiction treatment plan.  Federal and state law mandates that the prescription written be filled and used ONLY by the patient being treated by the physician.  We know that addiction is often rampant in families.  We are happy to evaluate and treat any family or friends you may have that are also struggling with addiction.  Please have them visit our website or contact us via e-mail or text.

Does Tailwind Recovery Prescribe Subutex (buprenorphine mono-product)?

 Subutex is only FDA approved for the treatment of opioid addiction in pregnant and nursing mothers.  While the state law specifies patients with a documented hypersensitivity / adverse reaction to naloxone are eligible to be prescribed Subutex, the true prevalence of such reactions is extremely low.  Tailwind Recovery can refer you to a local Board Certified Allergist for work-up of a possible naloxone allergy.

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