Practice Policies

Cancellations/No-Shows

Please remember to cancel or reschedule 24 hours in advance. You will be responsible for the fee of $150 if cancellation is less than 24 hours. This is necessary because a time commitment is made to you and is held exclusively for you. If you do not show by after 10 minutes from the start of the appointment, it will be considered a no-show.

Medication Refills

Once you realize that you have less than a week medication supply without an upcoming appointment, please contact the office via portal message as soon as possible. Please allow up to 3 business days for the approval. We do not respond to automatically generated pharmacy requests. Typically, your refills will be sent during your follow up appointment to last until your scheduled next visit. We will not refill medications prescribed by other providers without doing a full evaluation.

Communication

If you need to contact the provider between sessions, please contact her via patient portal messaging or via the HIPAA-compliant Spruce app. Please allow 48 business hours for a response. For any medication changes, an appointment is required. If a true emergency situation arises, please call 911 or go to the nearest local emergency room.

Termination

Termination of services may occur at any point by patient if you deem that your needs are not met at this practice. Please notify us, if possible, if you plan to transition to another provider. From the provider’s end, termination may occur in the following circumstances:

In the event of misuse of prescriptions
Non-payment
More than 3 no shows or late cancellations with less than 24 hour notice
Inactivity for over 6 months without any follow up

Form Completion

Any request for forms or letters must be requested in advance and will be completed during the appointment. Depending on the request, the provider will let you know if the form can be completed or not. This practice does not complete any disability paperwork.

Controlled Substance Policy

There is an abundance of research available detailing the detrimental effects of long-term benzodiazepine "benzo" use (Xanax, Ativan, Klonopin, Valium). This class of medication is not indicated for anything other than short-term management of anxiety while a therapeutic dose of a non-benzo is being established, along with active engagement in therapy. Long-term use of benzos lead to rebound anxiety, poor sleep and insomnia, increased tolerance and early onset Alzheimer’s and dementia. For these reasons, benzodiazepines are prescribed minimally.

Stimulant medications are prescribed for ADHD if appropriate.