Office Policies



Please provide us with at least 24 hours notice of appointment cancellations or rescheduling.  This allows us to offer your spot to someone on the wait list.  You will be financially responsible for appointments not cancelled or rescheduled with appropriate advance notice, although consideration can sometimes be given for circumstances truly beyond your control.

We generally will not offer to reschedule late cancellations or no-shows for the initial evaluation session.  Patients who cancel less than 24 hours before an appointment, or fail to attend their visit, will be charged a $100 no-show or late cancellation fee.



If our appointment begins late because you arrived late, the session will end at the time it normally would have ended. This is so that other patients may stay on schedule. If we begin late because the providers are behind schedule, the session will be of its normal duration, to assure that patient concerns receive full and proper attention.

If you arrive after the scheduled session has ended, we can sometimes accommodate you, if an already scheduled appointment cancels or no-shows, but this cannot be guaranteed. Otherwise, the visit will count as a no-show.



Every effort will be made to accommodate crisis situations and the need for earlier appointments. However, you may need to check with us daily for cancellations, if no appointments are immediately available. Likewise, we cannot guarantee immediate rescheduling of missed appointments.



Many insurance companies may require a referral for your visit to our office. Please make sure to contact your insurance company and/or your primary care physician to ensure that you do get a referral if it is required. Failure to obtain a referral when necessary, may cause your insurance company to deny your claim.



Please let us know at the beginning of the session if we need to devote some of our time to discussing or filling out forms, or write notes or letters Please fill out forms to the best of your ability prior to the session so that we may use our time most efficiently. Letters, forms, record reviews, and interactions with outside agencies requiring significant attention outside of scheduled appointment times, will be subject to a fee of $50 per half-hour.

This excludes activities deemed by the provider to be clinically essential, such as interacting with other clinicians directly involved in your care, and executing routing duties such as as providing refills, filling out routine authorizations requests, and brief clinically-focused return of patient phone calls.



We prefer to refill your medications at the time of your office visit. Please bring your medication list with you to each appointment. Please be sure to give us at least 48 hours notice on all refill requests. Chronic or long-term medication refills require an office visit before they may be refilled. In other cases, we request that you contact your pharmacy for medication refills. The pharmacy will fax a request to our office with all pertinent information



A Release of Medical Records must be signed in order to have your patient records sent to another health care provider. If you are requesting that your records be sent to another provider we ask that you supply us with their name, address, and phone number. Requesting medical paperwork to be filled out will cost $50 to be completed.