Office Policies (01/01/2016)

In case of Emergency:

We do not provide 24 hours crisis service and we do not provide emergency refills. In the event of an emergency, please call 911, or go to the closest emergency room.

Disability, fitness for duty evaluations and FMLA:

  • We do not conduct disability or fitness for duty evaluations. Please do no not schedule a new patient appointments for this purpose. We do not fill out disability forms. We can give you a copy of your records for you to forward to the respective disability company.
  • There is a $60 charge for FMLA paperwork completed by your doctor. Please present your paperwork to the receptionist prior to your appointment.

No-show and missed appointments

  • If you do not cancel or reschedule your appointment at least 24 hours in advance, you will be charged a $50 no-show fee or late cancellation fee.
  • After 3 missed appointments, we will no longer provide services unless all missed appointments are paid in full.

Medication and Prescription Refill Policies

  • All changes in medications are done during an office visit. We cannot treat you over the phone. Missing appointments can disrupt your care and lead to a relapse. You are responsible for scheduling a follow-up with your doctor before any prescription runs out. 
  • If you are an existing patient and have not been seen in the office within at least 3 months, an appointment may be required prior to refilling your prescription.
  • Due to the fact that we receive a high volume of automatic faxes from pharmacies requesting refills, we require patients to contact our office themselves (preferably by email or text) to request refills. Prescription refills are not automatically granted. A refill authorization is generated at the sole discretion of your doctor and can take up to 5 business days. 
  • Schedule 2 controlled substance medications such as, Adderall, Ritalin, Concerta, Focalin, and Vyvanse, cannot be called in and require an appointment.

Prior Authorization for Medication

  • Many insurance companies require prior authorization on certain medications. Please have your insurance company fax us the paperwork for prior authorization or ask your pharmacy to initiate an electronic prior authorization via Prior Authorizations are typically done on Fridays or over the weekend, due to the fact that they are extremely time consuming. We are not responsible for your insurance company's decision of whether or not they will cover your medication.

Insurance and Billing

  • Medical expenses are the patient’s responsibility regardless of insurance coverage. While we look up insurance benefits as a courtesy, patients are responsible for knowing the stipulations of their insurance policy. If for some reason your insurance company fails to pay for services rendered and/or you are not eligible at the time the services are rendered, the patient is still responsible for payment. If you are unable to meet your financial commitment, you will have to reschedule your appointment.
  • Notify our office of any insurance changes at least 2 days prior to your appointment.

Letters & Forms:

If you are requesting a letter to be written on your behalf or forms to be completed, please keep in mind that your request will take 5-10 business days to complete and it is your doctor’s discretion to to complete it or not. Your doctor must approve and sign all letters before they can be picked up/mailed/faxed. Insurance does not cover any paper work and there will be additional charges.


We routinely use phone, email and text to communicate on scheduling, billing, refills and other administrative matters. While we exercise caution and encrypt electronic communication on our end, we expect the electronic communication is protected on your end (such as PIN for voicemail or password for email). If you do not feel comfortable with electronic communication, or if it isn’t protected on your end, please do not schedule an appointment with our office.

Limits of Confidentiality:

Therapy sessions between a psychiatrist and patients are strictly confidential except under certain legally defined situations involving threats of self harm or harm to another, and cases of past or present child abuse, elder abuse or abuse of individuals. In case of danger to others, it is required by law to notify the police and to inform any intended victim(s). In case of self harm, your doctor is legally bound to inform the nearest relative or significant other, or to enlist methods to prevent self-harm or suicide.

Limits of Responsibility

Your doctor is not responsible for your behavior or choices that you make. Although you will have our office number and email, you are responsible and accountable for what you do, the choices you make, and how you behave in your own life. No psychiatrist can control or take responsibility for the behavior of other people.