Your Questions, Answered

  • Maintaining a credit card on file helps ensure timely billing and reduces administrative delays. Cards on file may be used for copays, outstanding balances, missed appointment fees, or insurance-determined patient responsibility, as outlined in our policies.

  • We ask that patients provide at least 24 hours’ notice when canceling or rescheduling an appointment. Late cancellations and missed appointments are subject to a $75 fee, as insurance does not cover missed visits. Advance notice also helps us make appointment times available to other patients who may need care.

  • Consistent attendance supports effective treatment. Repeated late cancellations or no-shows may lead us to revisit treatment needs and readiness to continue care, and in some cases may result in discharge from the practice.

  • We complete disability and FMLA documentation for established patients who meet eligibility criteria related to length of care, recent visits, and treatment compliance. Forms require processing time, may involve fees, and are completed at the provider’s discretion.

  • Yes. We evaluate and diagnose ADHD in adolescents age 12 and older and adults. If you do not already have an established diagnosis, ADHD is not typically diagnosed during the first visit. Assessment may require additional history, questionnaires, collateral information, or follow-up visits to better understand symptoms over time and rule out other possible causes.

    If you have previously been diagnosed with ADHD, we may ask for documentation from prior providers and/or a copy of a previous neuropsychological evaluation before confirming the diagnosis or making treatment decisions. In some cases, additional neuropsychological testing may also be recommended when the diagnosis remains unclear or symptoms overlap with other conditions.

  • Controlled medications are prescribed carefully and monitored closely to support safety and effectiveness. Treatment may include regular follow-up visits, review of prescription monitoring data, and other monitoring as clinically appropriate. In-person visits may also be required based on the medication, clinical needs, practice policy, applicable state and federal regulations, or pharmacy requirements.

  • For secure communication, patients are encouraged to use the patient portal or text via the Spruce app. These tools allow us to protect your privacy while supporting care coordination. Electronic messages are not a substitute for appointments and are not monitored for emergencies.

  • Our office does not routinely answer phone calls in real time. Because we are a small practice and are often with patients, calls are generally directed to voicemail and returned as soon as we are able.

    Current patients are encouraged to use the secure Spruce app or patient portal for non-urgent communication. These options are often the fastest and most reliable way to reach us. Non-urgent calls and messages may take up to two business days to receive a response.

    If you are not yet an established patient, you are also welcome to send a text message to the office number. Urgent after-hours calls are routed according to our on-call process.

  • We provide outpatient psychiatric care for adolescents age 12 and older and adults, including comprehensive psychiatric evaluations and ongoing medication management. When clinically appropriate, brief supportive psychotherapy may also be incorporated into follow-up visits, with care tailored to each individual’s needs and goals.

  • Our practice focuses on non-emergency, outpatient care. We’re not able to provide crisis services, and if you are experiencing a psychiatric emergency or immediate safety concern, we encourage you to call 911 or go to the nearest emergency room for support.

  • You can request an appointment through the New Patient form link our website. Once scheduled, we’ll guide you through next steps, including completing intake forms and understanding what to expect before your first visit. Feel free to reach out to the office directly if you have any problems completing your form!

  • We accept both self-pay and a number of commercial insurance plans, including Highmark, United Healthcare/Optum, UPMC Health Plan, Blue Cross Blue Shield, and some Aetna plans (billed through our partners at Alma). Coverage details such as copays, deductibles, and coinsurance vary by plan and individual policy, so we encourage patients to review their benefits and reach out with questions before scheduling.

  • At this time, we are not in network with Medicare, Medicare Advantage, Medicaid/Medical Assistance, or related plans. We are also unable to see patients who carry these plans as secondary or supplemental coverage due to federal requirements.

    We are beginning the credentialing process with Medicare and Medicare Advantage plans. While we do not yet have a confirmed timeline for completion, we are happy to add interested prospective patients to a waitlist and contact them once we are able to accept these plans.

  • Copays are collected on the day of your appointment using the payment method on file. After your insurance processes the claim, any remaining deductible, coinsurance, or other patient responsibility will also be charged to the payment method on file based on your individual plan.

  • We strive to ensure you have enough medication to last until your next scheduled visit by sending prescriptions during appointments. If you run low between visits, please submit a refill request through the Spruce app (preferred), the patient portal, or by texting the office.

    If you do not have a follow-up appointment scheduled or if you missed your last visit, we’ll ask you to schedule a visit before a refill can be provided, as refills are at the provider’s discretion. We aim to process refill requests during regular business hours within 48 business hours, but they are not considered urgent and cannot be processed outside of business hours.

  • Our standard business hours are Monday through Thursday from 9:00 AM to 4:00 PM and Friday from 9:00 AM to 12:00 PM. These are the times during which phone calls and messages are reviewed and addressed. While some appointments may be scheduled outside of these hours, communication is handled during business hours only, and there may be delays due to holidays, provider vacations, or unforeseen circumstances.

    If you have an urgent concern that cannot wait until the next business day, please call the office to be connected with the on-call provider.