Accessible Psychiatry
Limitations
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Due to Medicare rules, unfortunately, I am not allowed to receive direct payments from people who have Medicare, under any circumstances, even if they have supplemental insurance.
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Controlled substance prescriptions (for example, stimulants and some sedatives)
Emotional Support Animal Letters
Disability Evaluations
Forensic Evaluations
L&I assessments
Assessments for ability to return to work, ability to own a weapon, ability to drive a certain vehicle, etc.
Transcranial Magnetic Stimulation / Electroconvulsive Therapy – I can refer you to outside services.
Suboxone Treatment
Couples or Family Therapy
Court-ordered treatment, or treatment under the Washington Involuntary Treatment Act (ITA)
If you have a question about a particular service not listed here, please contact me.
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If you have an emergency, call 911, or go to the nearest emergency room.
As a solo physician, I do not have weekend or evening coverage.
You can also call the Washington County Crisis Line 503-291-9111
Fees & insurance
I am not contracted with insurance companies. Being an out-of-network provider allows me to spend the required time with my patients. And this helps make treatment decisions guided by patient and physician rather than insurance companies.
For patients seeking reimbursements from their insurance, I will provide invoices or super-bill. In most cases, the difference after reimbursement is equivalent to what your co-pay would be.
Initial consultation
This time will be spent evaluating your mental health and discussing strategies to alleviate mental health symptoms. This does not include talk therapy. Usually 1-2 visits.
60 mins | $395
Follow-up visits
Frequency could be from biweekly, to every 6 months
30 mins | $225
Payment is required at the time of scheduling
Other Fees
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Once an appointment is scheduled, it is not available for others. If you do not present for the appointment, you will charged the full fee. If you need to reschedule or cancel, you must do so within 48 hours of the appointment so it can be offered to another patient. If this is not done then the full fee will be charged.
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In general I do not authorize refills outside of scheduled appointments. I will ensure you have enough medication until your next appointment time.
Refill requests when appointments are missed will be charged at $50 per medication and a follow up must be scheduled at that time.
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Other professional services may include writing of clinical reports and treatment summaries, extensive telephone conversations/ consultations outside of an appointment, consultations beyond typical collaboration with other professionals will be charged at $400 /hour and may be pro-rated in quarter-hour increments
Questions?
Take control of your mental health today with Accessible Psychiatry
This 15 free session is for me to answer any questions you may have about my practice, and see if we are a good fit. It DOES NOT establish a doctor/patient relationship.