General practice policies; Please read the Terms and Conditions carefully to ensure you understand dr. lulu's youth health center’s policies regarding website use, services, privacy practices, fees, etc. Your signature serves as confirmation that you understand and agree with the policies below. A copy of the practice’s policies is available here as PDF. we reserve the right to modify or replace these Terms at any time. You will be provided at least 30 days’ notice prior to any new terms taking effect.

Consultation and Treatment

Consultation and Treatment

Consultation and Treatment


An initial telephone appointment at Dr. Lulu's Youth Health Center is a free consultation to determine whether your needs as a patient fit with the services that Dr. Lulu offers. It does not automatically result in the establishment of a patient-doctor relationship, nor does it guarantee treatment. It is important that you provide accurate information during your consultation to ensure that the treatment being offered by the health center is the most appropriate.

Services provided by Dr. Lulu is geared toward low-acuity behavioral health cases for patients age 8 yr to 18 yr. If a higher level of care is needed, such as hospital treatment or Intensive Outpatient Programs, information on mental health services in San Antonio and the surrounding area will be provided with appropriate recommendations.

There is no guarantee that services rendered at Dr. Lulu's Youth Health Center will result in successful treatment of symptoms. Payment is due for services provided without expressed guarantee of results for those services.

All treatment at our health center is voluntary. You may discontinue care at any time. Note that requests for refills will be limited to no more than 30 days after expressing intent to discontinue care.

Your active participation and compliance with the treatment plan, including, but not limited to, consistent and proper use of medication, completion of labs if needed, abstaining from illicit substances, and finishing therapy “homework,” are expected as part of your treatment plan. You are responsible for tracking your refills and in contacting Dr. Lulu if you experience any problems related to your medication or therapy.

For all patients except those 18 yr and over, permission is required from parent(s) or guardian(s). Parents/Guardians are expected to actively participate in their child’s care.

Your child's care may be terminated by Dr. Lulu due to lack of treatment compliance,  delinquency in membership fees for over 30 days, or other reasons outlined in these policies.

Disability paperwork, custody evaluations, or letters supporting Emotional Support Animals are not provided by Dr. Lulu's Youth Health Center. Medications will not be (re)filled at the time of the first  consultation.

Privacy Policy

Consultation and Treatment

Consultation and Treatment



The Health Insurance Portability & Accountability Act of 1996 (HIPAA) is a Federal program that requires that all medical records and other individually identifiable health information used or disclosed by us in any form, whether electronically, on paper, or orally are kept properly confidential. HIPAA gives you, the patient, the right to understand and control how your personal health information (PHI) is used. HIPAA provides penalties for covered entities that misuse personal health information.

As required by HIPAA, Dr. Lulu's Youth Health Center prepared this explanation of how we are to maintain the privacy of your health information and how we may disclose your personal information.

We may use and disclose your medical records only for the following purposes: treatment, payment, and health care operation.

Treatment means providing, coordinating, or managing healthcare and related services by Dr. Lulu. An example of this is when you are referred to a specialist.

Payment means such activities as obtaining reimbursement for services, billing or collections, and utilization review. An example of this would include you paying your monthly subscription fees for services rendered by our doctor.

Health Care Operations include the business aspects of running our practice, such as conducting quality assessments and improving activities, auditing functions, cost management analysis, and customer service. An example of this would be case management and care coordination.

The practice may also be required or permitted to disclose your PHI for law enforcement or other legitimate reasons. In all situations, we shall do our best to assure its continued confidentiality to the extent possible.

We may also create and distribute de-identified health information by removing all reference to individually identifiable information.


We may contact you, by phone or in writing, to provide appointment reminders or information about treatment options.

The following use and disclosures of PHI will only be made pursuant to us receiving a written authorization from parents or legal guardians: Uses and disclosure of your PHI for marketing purposes, including subsidized treatment and health care operations, and other uses and disclosures not described in this notice.

Privacy Policy Cont'd

Consultation and Treatment

Privacy Policy Cont'd


  Parents or Legal guardians may revoke such authorization in writing and we are required to honor and abide by that written request, except to the extent that we have already taken actions relying on your prior authorization,

You may have the following rights with respect to your PHI.

The right to request restrictions on certain uses and disclosures of PHI, including those related to disclosures of family members, other relatives, close personal friends, or any other person identified by you. We are, however, not required to honor a request restriction except in limited circumstances which we shall explain if you ask. If we do agree to the restriction, we must abide by it unless you agree in writing to remove it.

The right to reasonable requests to receive confidential communications of Protected Health Information by alternative means or at alternative locations.

The right to inspect and copy your PHI.

The right to request amendments to your PHI. This request may be declined, but you will receive the rationale in writing within 60 days.

The right to receive an accounting of disclosures of your PHI.

The right to obtain a paper copy of this notice from us upon request.

The right to be advised if your unprotected PHI is intentionally or unintentionally disclosed,

If you have paid your monthly fees in full and in advance, and you request that we not disclose PHI related solely to those services to a health plan, we will accommodate your request, except where we are required by law to make a disclosure.

We are required by law to maintain the privacy of your Protected Health Information and to provide you the notice of our legal duties and our privacy practice with respect to PHI.

This notice is effective as of July 1, 2019, and it is our intention to abide by the terms of the Notice of Privacy Practices and HIPAA Regulations currently in effect. We reserve the right to change the terms of our Notice of Privacy Practice and to make the new notice provision effective for all PHI that we maintain. We will post, and you may request a written copy of the revised Notice of Privacy Practice from our office.

You have recourse if you feel that your protections have been violated by our office. You have the right to file a formal, written complaint with the office and with the Department of Health and Human Services, Office of Civil Rights. We will not retaliate against you for filing a complaint.

Office Policy

Office Policy Cont'd

Privacy Policy Cont'd


Dr. Lulu's Youth Health Center is open Tuesday to Thursday 10am to 4pm for on-site visits, and Mondays and Fridays are reserved for virtual visits via phone, email, telemedicine, or text during the hours of 8 am to 6 pm.  We kindly request you try to keep your calls to that time. Any and all emergencies should call 911 or go to your nearest ER or Urgent Care Center. Dr. Lulu reserves the right to redirect non-emergent calls to a tertiary facility. She will endeavor to return phone calls, secure messaging, and text messages sent through website or otherwise within 24 - 48 business hours.

 The office is located at 12030 Bandera Rd, Ste 108B, Helotes, TX 78023. The office phone number is 802-768-1180. The office fax number is 915-642-9573. The website for Dr. Lulu's Youth Health Center is, the email is

Established patients will be asked to voluntarily register for the Patient Portal provided by Dr. Lulu's Youth Health Center via a third party Electronic Health Record (EHR) at no additional cost. This will allow communication via secure messaging with Dr. Lulu, as well as access to portions of your health record.

For Telemedicine visits, patients will receive a secure HIPPA compliant link to Dr. Lulu's virtual waiting room.

Dr. Lulu's Youth Health Center will make every effort not to reschedule within 24 hours of your appointment, unless there is an emergency or extenuating circumstance.

Your appointment time is scheduled for you only. We do not double book appointments. It is however, imperative that you arrive on time for your appointment as your appointment time will end after the allotted time no matter what time you arrive. For example, if you are scheduled for a 60-minute follow up appointment from 10am to 11am and arrive at 10:30am, your appointment will still end at 11am. We do not offer refunds for the shorter appointment as a result of your lateness.

Office Policy Cont'd

Office Policy Cont'd

Office Policy Cont'd



 Two missed follow-up appointments without proper notification or rescheduling, lack of treatment compliance, failure to pay membership fees for one month, disagreement in treatment goals, use of illicit substances, misuse of medications, or violation of Dr. Lulu's Youth Health Center's policies, will result in termination of care. 

If acceleration in acuity occurs, is a transfer to a provider who will better manage the clinical condition will take place. 

Your child may be prescribed refills up to 30 days or a tapered dose of controlled substances in the event of a termination of care. Patients prescribed controlled medications (DEA Schedule II, III, IV, V, etc.) are subject to random lab testing. 

High dose Benzodiazepines or excessive use of stimulants are not typical practices of Dr. Lulu's Youth Health Center. Lost or stolen prescriptions will not be refilled without an authentic police report. Dr. Lulu's Youth Health Center participates in the Texas Prescription Monitoring Program (PMP) as required by the state of Texas. Your child's medical records will be subject to review, especially if controlled substances are being considered as part of their treatment plan. Dr. Lulu's Youth Health Center does not offer crisis management, emergency medical or mental health services, or routine primary care (like fever and sore throat in a 6 yr-old) however, if an established patient is being consulted on for a covered diagnosis, and they incidentally have a sore throat or ear pain, Dr. Lulu will also consult on that, and take care of the problem. We ask that you understand that her practice is not primarily structured to be a full scale primary care facility to see any and all routine pediatric medical ailments. 

If you, or anyone you know is experiencing a crisis, is having suicidal thoughts or exhibiting suicidal behavior, please call 911, go to the nearest Emergency Department, call 1-800-273-TALK, 1-800-SUICIDE, or text HOME to 741741 (The National Crisis Text line)

Payment Policy

Office Policy Cont'd

Office Policy Cont'd



Here at Dr. Lulu's Youth Health Center, our pricing system is very straightforward – just like it should be. No hidden costs or impossibly complicated invoices. If you have questions, simply ask. We’re happy to walk you through anything. In the meantime, take a look at our Membership Fees by browsing Our Fees page, or sign up to become a member below. We’re glad you’re here. 

Services are self-pay and Dr. Lulu's Health Center is structured as a direct monthly membership practice. NO INSURANCES ARE ACCEPTED.

Payment is due prior to booking your appointment. 

A fee of $50 will be assessed for returned checks or insufficient funds in a debit or credit card payment. Dr. Lulu's Youth Health Center accepts bank EFT, and credit cards as forms of payment.

While we do not prefer cash payments, they are accepted, however, cash paying patients must pay three (3) months in advance for their services.

A $75 enrollment fee is assessed for all new members. 

Dr. Lulu's Youth Health Center is affiliated with a third-party payment system to process your payment and has no control over, and assumes no responsibility for, the content, privacy policies, or practices of the third-party website or services. You further acknowledge and agree that Dr. Lulu's Youth Health Center shall not be responsible or liable, directly or indirectly, for any damage or loss caused or alleged to be caused by or in connection with use of or reliance on any such content, goods, or services available on or through any such website or services.

Dr. Lulu's Youth Health Center will not provide any your credit card information to any  third party other than the one being utilized for our merchant services, nor will your information be used for any reason other than patient care coordination.

Recommendations for lab testing, X-rays, special psychological testing or supplements, may incur additional fees by their vendors.