Policies
Emergencies & Urgent Care
As a solo practitioner, I cannot provide emergency services or urgent care. In case of emergency, call 911, the Multnomah County Crisis Line (503-988-4888, toll-free: 1-800-716-9679), or present to the nearest Emergency Room. The Cascadia walk in clinic and Unity Psychiatric Emergency Services are helpful resources for urgent psychiatric needs.
If you are a family member or a friend who has safety concerns for my patient- please do not wait for me to call back in case of an emergency. Please call the non emergent police line (503-823-3333) and request to have a welfare safety check for the patient (have name, address, any contact info ready as well as your concerns) if you have concerns or 911 if there are acute safety concerns.
Cancellations & Missed Appointments
I ask that patients provide 48 hour notice advance notice for appointment cancellation. Missed appointments and cancellations will be charged the cost of the appointment. Please be aware that insurance does not cover these fees. While there are exceptions for personal emergencies, a first-time cancellation within 48 hours of the scheduled appointment will not be penalized. A second time cancellation within 48 hours of the scheduled appointment will result in a fee equivalent to half the amount of the normal cash rate. A third (or beyond) cancellation within 48 hours of the scheduled appointment will result in a fee of the full normal cash rate.
Medication Refills
In order to ensure you do not miss doses of medication, when requesting refills outside of appointments, please:
Check with your pharmacy to see if you have any refills remaining.
Please notify me at least 3 business days in advance if a refill is needed between appointments. I typically do not process refill requests on weekends or holidays.
Controlled Substances
While I believe some patients may benefit from medications such as stimulants (Adderal, Ritalin, etc) and benzodiazepines (Xanax, Ativan, and Klonopin, etc), the risks outweigh the benefits for many individuals. As such, I only prescribe these medications in select situations for established patients.