Practice Policies
Your Location
You must be in Washington state during your appointment. Please be sure you have good internet access and are in a private location where you feel comfortable disclosing personal information. Your provider is also located in-state in the privacy of a remote office.
Cancellation / No-Show
If cancellation occurs at least 48 hours prior to our session, there is no charge. If the cancellation occurs less than 48 hours prior to the session, you will be charged $200. This fee is not covered by insurance and cannot be submitted for insurance reimbursement.
Tardiness
If you arrive more than 10 minutes late for an appointment without notification, you may need to reschedule to ensure that adequate time and attention can be given to your care. Please note that you will still be responsible for the payment of the missed session.
Administrative Requests
If you need documentation, please discuss it with your provider. This service is available to established patients and includes family medical leave of absence (FMLA), gender-affirming procedure letters, and emotional support animal (ESA) letters.
Emergencies
In the event of an emergency, please call 911 and go to the nearest emergency department. In the event of a mental health crisis, call or text 988 or contact a crisis counselor at crisistextline.org.
Refills
During your appointment, you’ll receive enough refills to last until your next visit. If you need a refill before then, please contact your provider through the patient portal. Make sure to schedule an appointment and include the following details: your pharmacy, medication name and dose, and your next appointment date. If your medication needs adjusting, an appointment will be necessary.
Due to the significant administrative burden, we cannot respond to pharmacy-initiated refill requests. Please opt out of this service if it is offered by your pharmacy.
Controlled substances will not be refilled outside of office visits. Please refer to your Controlled Substance Agreement for more information.
Controlled Substances
If prescribed controlled substances during treatment, patients will need to complete an annual in-person physical exam and periodically monitor vital signs, such as blood pressure and heart rate. Additionally, you will review and sign a Controlled Substance Agreement prior to starting these medications.
ADHD Information
Previously Diagnosed
If you have a prior ADHD diagnosis, please provide medical records, including diagnosis and treatment history, neuropsychiatric records, and any school-related documents such as IEPs or 504 Accommodation Plans.
If you’re working with a therapist, having them write a letter of support and clinical impressions can be useful for obtaining professional collateral information.
New Diagnosis
Evaluation slots are limited. If we are unable to conduct a comprehensive ADHD assessment, we will provide referrals for convenient psychological testing.
ADHD evaluations require 2-3 sessions to collect all necessary information for an accurate diagnosis. This includes assessing for potential disorders and obtaining collateral information from family members, mental health specialists, and/or other providers.
Treatment
A range of treatment options are offered, including non-stimulant or stimulants medications, and behavioral interventions.
You should plan to meet with your provider every 1-3 months.
If you are prescribed stimulant medications, using a home blood pressure cuff is highly recommended to monitor your cardiovascular health.