Is a full, hour-long evaluation necessary for all new patients? Yes. All new patients must undergo a comprehensive evaluation, which requires an initial visit of approximately one hour. I am happy to review any documentation you might wish to provide, but documentation is not required.
Can appointments be held over the telephone, or using Facetime, Skype, etc.? No. All formal visits require a video component, and we must use the Advanced Telemedicine app (Zoom secure videoconferencing). For more information on how it works, click here.
Can ADD/ADHD medications be prescribed online? Yes, all psychotropic medications, including controlled substances, can be e-prescribed. All prescriptions are sent electronically to the pharmacy of your choice. Certain medications cannot be refilled, and require a new prescription each time.
Does SPC offer payment plans? No, full payment is due at the time of service, and I do not offer payment plans. However, all major credit cards are accepted. Paid invoices are available upon request.
Does SPC charge for telephone calls? No. All communication with me between visits is covered by the fees paid at each visit. I am always available by phone for brief questions or simple requests, and patients are never billed for any time outside of our formal video conferences.
How often do I have to return to clinic? Patients who are doing well may elect to return to see me every six months; this is the maximum acceptable length of time between appointments for established patients who are actively engaged in treatment. Refills will not be provided for any medication to last greater than six months' time.
Patients who are taking Schedule II controlled substances (e.g., stimulant medications like Ritalin or Adderall for Adult ADD, and other medications that cannot legally be refilled, and that require a new prescription each time) will initially be seen in follow-up on a monthly basis, followed by eventual quarterly visits: once in the maintenance phase of treatment, these patients must return to clinic at least once every 3 months. All patients are encouraged, however, to return to clinic on a quarterly basis for well-checks.
This policy does not apply to patients taking Schedule III-V medications and non-scheduled medications which can be refilled, such as medication for insomnia and other sedatives and calming agents, including anti-anxiety medications of the benzodiazepine class (such as Valium, Xanax, Klonopin, Ativan, etc.); patients taking these medications who are otherwise doing well are encouraged to return to clinic on a quarterly basis, but may elect to return every six months if they continue to do well and require no more frequent re-evaluation, or changes to their regimen.