Office Based Alcohol Detoxification 

Our office is staffed by physicians who are all certified in Addiction Medicine . We have practiced Addiction Medicine since 1981. 

Alcohol Detoxification is a very serious and potentially deadly condition. Serious medical consequences include seizures and hallucinations. Accidental over dosage with detox meds, mixed with alcohol can lead to death. EVERYONE must bring a close friend or relative with them to all of the office visits. This person needs to be present in the examining room with the patient, as they will be responsible for the monitoring of the medications, adjusting the dose or calling the treating physician for any complications, problems or advice on adjusting the dose of medications. Treating physicians are available 24 hours a day. 

Exclusions:


1) Anyone who has had hallucinations or seizures during previous withdrawal episodes or has had a difficult detoxification requiring hospitalization for 5 or more days. 

2) Outpatient detoxification is potentially too dangerous for individuals over sixty years of age. 

3) Drinking daily for more than 6 months is also too potentially dangerous to be done as an outpatient. 

4) Physical dependence on other drugs combined with alcohol is too complex for outpatient detox.

Costs:

 
$850.00 global fee covers 30 days of all office care related to your detoxification and 2 hours of 1:1 therapy that is focused on relapse prevention. ``` It is payable, in full, at the time of the first visit.
Cash, money order or credit cards  are  acceptable for payment (with a 2% surcharge on credit cards) Checks are not acceptable for payment. 

Goal:      


Our only goal is to assist you in detoxifying from all addicting drugs. If you are using marijuana or other drugs and want to continue them, SAVE YOUR MONEY!!!! We can't help you. 

Sobriety:  


Detoxification is only the first small step toward sobriety, and is the easiest. "Getting clean is easy, staying clean is hard.” If there is no commitment towards some type of rehab program, you are wasting your time and money.

Insurance Coverage: 


At the present time we do not have contracts with any insurance companies for this type of outpatient services.  You will be asked to sign an agreement acknowledging you are responsible for payment in its entirety.  If you have Medicare insurance, you are not eligible for this program, as it is not a covered benefit.

Early Withdrawal or Termination from the Program:

 


If you decide you made a mistake or you are not satisfied with our services, or we terminate our relationship with you (this will only be done for specific reasons,) a portion of your global payment will be refunded.  Continued drinking during detox. or abusive behavior is cause for termination.  The charges for our services are accrued according to the following schedule:  Initial Addiction medicine evaluation $300.00 and subsequent follow-up visits are $150.00 each.  There will be 2-3 visits weekly during this 30-day period.  Telephone calls to adjust treatment will also be charged at a rate that is appropriate for the amount of time spent on the call.  There will not be any additional costs to you, above the global fee charges unless you are seen for medical problems not related to your detoxification e.g. bladder infections, bronchitis, minor injuries, etc.

Detoxification Visits: 


After the initial evaluation is completed, appropriate medications will be prescribed and instructions given to your friend or family member, who is monitoring your detoxification.  Your friend or family member will be giving you medicine (usually a benzodiazepine e.g. Serax) for the withdrawal symptoms.  Appropriate medications for sleep, plus vitamins and minerals will be prescribed.

Follow-up visits will include an appropriate examination and an interview of the relative or friend, who is dispensing the medicines.  This is to determine the appropriate dosing schedule for the next few days.  Telephone calls to the treating doctor will also be used when appropriate or necessary to adjust the dose of medication.

Medications


The global fee does not include medications.  If you have a health insurance plan with prescription coverage, most of your detox meds will be covered.

Laboratory Tests: 


Some basic laboratory tests will be ordered at the time of the initial visit.  We do not have a lab and the global fee does not include these tests.  Most insurance plans will pay for them.  These tests are essential to evaluate your liver and blood systems, to see if alcohol has caused significant damage that may require further medical treatment.

Post Detox Medications: 


There are medications that can be used after detoxification to reduce the risk of relapse.  These medicines will only be prescribed if you are involved in an ongoing structured program.  If you are on these medicines after detox, you will need ongoing medical follow-up (usually monthly) at our office or the office of your own physician.  These subsequent visits are not covered by the global detoxification fee.

Behavior: 


Abusive attitudes toward our staff or other patients will not be tolerated, either in person or on the telephone.  If abusive behavior continues after talking to your physician, you will be discharged.

   

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Solomon, Stern & Glatt
A Medical Corporation
160 Country Club Drive
South San Francisco, CA 94080
(650) 952-5880
(650) 952-5895 FAX
info@addictionphysicians.com