45 minute Initial Consultation + First Follow Up
Patients that have not been seen for 2 years must be seen as an initial
16-30 minute medication management
Miscellaneous Fee Schedule:
Short Term Disability Forms $25
Dictated Letters (less than 2 pages) $50
Social Security Forms $200
Fees to be negotiated:
· Dictated Reports/Evaluations (more than 2 pages)
· Consulting and Presentations
· Legal Consulting (including Social Security & Disability)
Appointments not kept and not cancelled 48 hours in advance will be charged $50.00.
We participate with the following insurance plans:
Payment for sessions is due in full at the time of service. Cash, checks, and most major credit cards are accepted for payment. Applicable fees will be assigned for any returned checks or credit card non-payments.
Release of Records
Records will be released to appropriate health care providers or attorneys with written Authorization to Release Information. Records will not be released to the individual, but they may set up an appointment to discuss notes with practitioner.
Lateness: Your appointment is reserved time. If you arrive late, you are still responsible to pay for time you were not present: your session time will not be extended or rescheduled.
Refills: Prescriptions are written to coincide with your next appointment. As this is not always possible, refills will be given for a 1 week period for controlled substances and 2 weeks for others. We do not monitor or respond to requests for refills that are sent by pharmacies. If you need a refill you will need to contact the office either by E mail or phone.