Frequently Asked Questions
Is the drive down the mountain a problem in winter?
It can be during ice events. Both the W Road and Signal Mountain Road can get icy before the valley floor does, and Hamilton County occasionally closes them during severe weather. On those days, call the clinic at 423-498-2000: a follow-up other than an injection visit can be switched to telehealth unless your provider has asked to see you in person.
Can I do most of my care from home on the mountain?
Yes, and for Signal Mountain patients this is usually the preferred pattern. After your initial in-person evaluation, medication management, counseling, and routine check-ins can all happen via telehealth from your home, home office, or any private space with a phone or computer. The only appointments that must happen in person after intake are the long-acting injections (Sublocade and Vivitrol every four weeks; Brixadi weekly or monthly) and any visit your provider asks you to come in for. For a stable patient on a monthly injection, that works out to roughly one drive off the mountain per month.
I live in the Town of Walden, not the City of Signal Mountain. Does that matter?
Not for your treatment. Walden is its own incorporated town of about 2,000 residents sitting on the same ridgeline, and it shares the 37377 ZIP code with the City of Signal Mountain. The two communities have separate town governments, separate property tax structures, and separate zoning, but for the purposes of insurance networks and provider availability, they function as one medical market. Both are in Hamilton County.
Will my treatment be confidential in a community this small?
Yes. The clinic is off the mountain, on Shallowford Road in Chattanooga, away from the places you're likely to run into a neighbor. More importantly, every record in your chart is covered by HIPAA and 42 CFR Part 2 — the strictest federal privacy standard for substance use treatment in the United States. Nothing in your record can be released to a family member, an employer, a colleague, a pastor, or another provider without your written consent, except in limited cases the law allows, such as a medical emergency or a court order. That federal protection covers substance use treatment programs like ours.
Do you treat people whose dependency started with a legitimate prescription?
Yes. That includes a post-surgical prescription that went on longer than planned, a chronic pain script that slowly escalated, or a specialist-managed regimen where tolerance caught up with the maintenance dose. The clinical picture is treatable, and the evaluation does not require you to relitigate the original prescription or explain how you got here. Your provider works from where you are today.
How quickly can I start treatment?
Most Signal Mountain-area patients can be seen within the same week. Call 423-498-2000 or request an appointment online. Patients treated for opioid use leave their first visit with a Suboxone prescription; Sublocade and Brixadi injections are ordered during the first visit and administered at a short follow-up. If you are in withdrawal or close to it when you call, we will work to get you in the same week.
What insurance do you accept?
We accept BlueCross BlueShield of Tennessee (the dominant employer plan across Hamilton County professionals), Cigna, Aetna, United Healthcare, Ambetter, TennCare, Medicaid, and most major commercial plans — including the employer coverage offered by most downtown Chattanooga employers and the large health systems where many mountain residents work. Check your coverage here or call to verify before your first visit.
Do I need to stop using before my first appointment?
No. Your provider will evaluate where you are and guide you through a safe transition onto Suboxone. In most cases, you should be in early withdrawal (usually 12–24 hours since last use of short-acting opioids, longer for long-acting opioids) before your first dose — your provider will explain exactly what to expect and when to take that first dose at home. If you are coming off a long-term prescription, your provider will take that into account when explaining your timing.