SILVA PSYCHIATRIC CARE
  • MEET DR. SILVA
  • NEW PATIENTS
    • COST OF TREATMENT >
      • STUDENTS
    • Patient Reviews
    • AREAS OF EXPERTISE
    • Frequently Asked Questions
    • ADULT ADD/ADHD?
    • REQUEST AN APPOINTMENT
    • STUDENTS
  • THE CONCIERGE MODEL
    • WHAT IT IS
    • EXPEDITED SERVICE
    • PATIENT REVIEWS
  • TELEMEDICINE
    • WHAT IT IS
    • HOW IT WORKS
    • PATIENT REVIEWS
  • PATIENT REVIEWS
    • HEALTHGRADES: DR. SERGIO SILVA
    • TELEHEALTH REVIEWS
    • THE CONCIERGE EXPERIENCE
    • Midland Awards Program
  • TREATMENT PHILOSOPHY
    • INFORMATION FOR PATIENTS & FAMILIES
    • ARCHIVES
  • CONTACT: TEXT ME NOW
  • ABOUT
    • PAYMENTS
    • REFILL POLICY
    • Frequency of Visits
    • CANCEL/NO-SHOW
    • PRIVACY
    • HYPERTENSION SCREENING PROTOCOL
    • FORMS
    • Texas Rx Monitoring Program
  • RECOMMENDED
    • COVID-19 VACCINATION
    • BEST PRODUCTS
    • READING
    • DIALECTICAL BEHAVIOR THERAPY
    • Apps
    • Decks
  • SPOTLIGHT
    • YouTube CHANNEL
    • Online Courses

LETTERS OF MEDICAL ENDORSEMENT

MEDICAL LETTERS:

$50.00 - $75.00

Cost is determined by the length and complexity of the documentation required, and time spent. 

Excuse from work or school letters, letters advocating for additional occupational or academic resources and special accommodations, letters of retroactive medical withdrawal from college courses, documentation of the medical necessity for an emotional support animal (for tenants and/or travel purposes), jury duty exceptions, simple verification of treatment statements, and other, brief, hand-signed, official medical endorsements on letterhead are billed at $50.00

Lengthier, comprehensive medical summaries and multi-page narratives are billed at $75.00

See Dr. Silva's profile on Healthgrades.
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​SPC

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SERVICES

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  • Comprehensive Psychiatric Evaluations
  • Psychotropic Medication Management
  • Brief Counseling Sessions
  • Competency/Guardianship determinations
  • Pre-Surgical Clearances (elective bariatric and plastic surgery procedures)​
  • DOT Clearances
  • + other fitness-for-duty and focused psychiatric evaluations
  • Emotional Support Animal Documentation
  • + other medical endorsements

ABOUT SPC

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  • Dr. Silva, M.D.​
  • Résumé
  • ​Areas of Expertise
  • ​Treatment Cost
  • Patient Reviews
  • Payment Policy
  • No-Show Policy
  • Refill Requests
  • Refill Policy
  • Privacy Practices

SUPPORT/FAQS

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  • Contact Me
  • Set Up/How To
  • Telemed App
  • ZOOM Download
  • GoodRx/$4.00 Meds
  • Medical Record Copies
  • Medication Prior Authorizations
  • Patient Portal
  • FORMS
  • FAQ

OTHER RESOURCES

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  • COVID-19
  • American Psychiatric Association (APA)
  • Alcoholics Anonymous
  • Centers For Disease Control
  • La Hacienda Treatment Center
  • NAMI (National Alliance on Mental Illness)
  • Narcotics Anonymous
  • NutritionFacts.org
  • Physician's Desk Reference​
  • SPC Blog (2009)
  • Talbott Recovery Center
  • ​Texas PMP AwaRxe

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  • MEET DR. SILVA
  • NEW PATIENTS
    • COST OF TREATMENT >
      • STUDENTS
    • Patient Reviews
    • AREAS OF EXPERTISE
    • Frequently Asked Questions
    • ADULT ADD/ADHD?
    • REQUEST AN APPOINTMENT
    • STUDENTS
  • THE CONCIERGE MODEL
    • WHAT IT IS
    • EXPEDITED SERVICE
    • PATIENT REVIEWS
  • TELEMEDICINE
    • WHAT IT IS
    • HOW IT WORKS
    • PATIENT REVIEWS
  • PATIENT REVIEWS
    • HEALTHGRADES: DR. SERGIO SILVA
    • TELEHEALTH REVIEWS
    • THE CONCIERGE EXPERIENCE
    • Midland Awards Program
  • TREATMENT PHILOSOPHY
    • INFORMATION FOR PATIENTS & FAMILIES
    • ARCHIVES
  • CONTACT: TEXT ME NOW
  • ABOUT
    • PAYMENTS
    • REFILL POLICY
    • Frequency of Visits
    • CANCEL/NO-SHOW
    • PRIVACY
    • HYPERTENSION SCREENING PROTOCOL
    • FORMS
    • Texas Rx Monitoring Program
  • RECOMMENDED
    • COVID-19 VACCINATION
    • BEST PRODUCTS
    • READING
    • DIALECTICAL BEHAVIOR THERAPY
    • Apps
    • Decks
  • SPOTLIGHT
    • YouTube CHANNEL
    • Online Courses