Your First Visit

1. Onboarding, online, about 15 minutes

   Your details, a card on file (a temporary $100 hold verifies it and is released immediately), photos of your insurance card if you are using insurance, and the patient agreement signed electronically. Every document you will sign is listed further down this page, so you can read them first.

2. You pick a time

   Once onboarding is complete we send you four or five open appointment times, usually within hours and never later than the next business day. Choose one and your visit is set: the video link arrives with the confirmation, and no phone call is needed. Before the day, test your camera, microphone and connection in one minute. Evaluations are usually scheduled within a week. If you have prior records or a medication list, send them ahead; we read everything you send, with no page limit.

3. The evaluation

   60 minutes for a new-patient evaluation; 90 minutes when the diagnosis itself is in question, for a comprehensive evaluation or a second opinion. We work through the four perspectives: disease, dimension, behavior and life story. Expect questions about your history, what has been tried, and what has helped.

4. What you leave with

   A working formulation, meaning how we understand the problem, a plan, and the dates for what will be re-checked. Prescriptions go to your pharmacy electronically the same day. A written formulation is provided on request, and as a matter of course for second opinions and for patients referred by another clinician, who receives it with your consent.

5. Follow-up

   30-minute visits, at the interval the plan calls for. Refills, scheduling, billing and records run through the Current Patients page, each request with a reference number you can track.

Documents you will sign

Every page of the onboarding packet, readable before you start. Each opens as the PDF you will sign.

1. Consent to TreatmentWhat you agree to when you begin care, and what we do not provide (emergency or on-call services).
2. Notice of Privacy PracticesHow your health information is used and protected under HIPAA.
3. Consent for Telehealth ServicesHow video visits work, their limits, and the location and licensing rules.
4. Controlled Substances and High-Risk Medication PolicyPrescribing by evaluation and judgment, never automatically; monitoring; refills. · read as a page
5. Billing and Payment PolicyInsurance responsibilities, the card on file, balances and disputes. · read as a page
6. No-Show and Late Cancellation Policy24 hours’ notice; $50 / $100 / $150. · read as a page
7. Fee Schedule and Insurance InformationThe billing codes and standard fees behind every visit. · read as a page
8. Credit Card Verification and AuthorizationThe $100 verification hold and what the card on file may be charged for.
9. Privacy Policy and SMS NoticeWebsite privacy and the appointment-reminder text program (reply STOP to opt out). · read as a page