Owner settings
Branding & wording
Values marked Inherited are policy values copied from a previous provider's PDFs. Previous provider names, address, phone and email have been removed. Enter your own details and tick Approved only once verified. Settings are saved in this browser only; for every device, ask Artistiqo to make them permanent.
Logo
The current logo is taken from the business card photo and reads “Northshore Recovery Associates”. Please upload a high-quality original file and confirm which name should appear.
Business details
Shown in the app and on PDF letterheads.
Document wording
Inserted into consent, billing and authorization forms.
Document sections needing approval
Original wording is kept for review. Paste approved replacement wording (one paragraph per line; start a line with “• ” for a bullet) and it will be used in both the form and the PDF. Tick Approved once Mr. Willie confirms the wording.
Consent for Counseling
Pending approvalDescribes the previous provider's services (evaluations, short-term counseling, case management), counseling practices, emergency/crisis procedure and appointment policies.
Consent for Counseling
Pending approvalAcknowledgement of the previous provider's consent terms.
Fees & Billing Policy
Pending approvalPrevious provider's case-management fee structure and court/legal-matters policy.
Fees & Billing Policy
Pending approvalPrevious provider's payment amounts and SAP hour arrangements.
Fees & Billing Policy
Pending approvalPrevious provider's insurance filing and assignment-of-benefits arrangement.
Authorization to Disclose PHI
Pending approvalNames the provider and DISA as disclosure parties — confirm for the owner's practice.
Authorization to Disclose PHI
Pending approvalLists the previous provider's services as the purpose of disclosure.
Authorization to Disclose PHI
Pending approvalRevocation and signature legal terms — owner (and ideally legal) approval needed.
Notice of Privacy Practices
Pending approvalPrivacy notice describing the previous provider's legal duties and privacy practices.
Inherited content by document
Client Information
- Source PDF named a previous provider (practice, clinician and credentials). These now come from the business profile; owner must supply and approve his own name and credentials.
- Source PDF letterhead showed the previous provider's Baton Rouge address and phone. Removed; the header now uses the business profile (pending owner details).
Consent for Counseling
- Source PDF named a previous provider (practice, clinician and credentials). These now come from the business profile; owner must supply and approve his own name and credentials.
- Crisis line “The Phone Crisis Hotline at (225) 924-3900” is a Baton Rouge resource from the source PDF — confirm the correct local resource.
- All consent wording must be reviewed and approved by the owner before client use.
Fees & Billing Policy
- Source PDF named a previous provider (practice, clinician and credentials). These now come from the business profile; owner must supply and approve his own name and credentials.
- Fees ($500 initial session, $200/hr court rate, $100 per hour over 4 hours) are another practice's fees — the owner must confirm his own fees.
- Billing and assignment-of-benefits wording requires owner approval.
Authorization to Disclose PHI
- Source PDF named a previous provider (practice, clinician and credentials). These now come from the business profile; owner must supply and approve his own name and credentials.
- Source PDF letterhead showed the previous provider's Baton Rouge address and phone. Removed; the header now uses the business profile (pending owner details).
- Names “Third Party Administrator of DISA, Inc.” as recipient — confirm this applies to the owner's clients.
- Authorization wording requires owner (and ideally legal) approval.
Notice of Privacy Practices
- Source PDF letterhead showed the previous provider's Baton Rouge address and phone. Removed; the header now uses the business profile (pending owner details).
- Notice wording should be reviewed and approved by the owner.
DISA Reinstatement Agreement
- This is a DISA Global Solutions document. Its wording, logo, and contact details are preserved exactly; your answers are placed onto the original page. Do not modify without DISA's authorization.