NO SHOWS &
CANCELLATION

Patient is required to give one business day (48 hours) notice of appointment cancellation. Business days do not include weekends or holidays. The fee for the late cancellation/missed appointment is the *cost of the appointment*. This fee is not covered by insurance- fee rates are the same as noted on my fee table.  The no show/late cancellation fee is due immediately and the credit card on file be charged.

Exceptions can be made for emergencies or weather issues, but I must be contacted during or before the scheduled appt time. 


Medication
ReFILLS

I am cautious regarding daily use of controlled substances (e.g., stimulants and benzodiazepines, such as Ritalin, Adderall, Xanax, Valium, Ativan, and Klonopin), as I believe the risks of these medications sometimes outweigh the benefits.

Please do not allow yourself run out of medication. It is your responsibility to request a refill with sufficient advance notice ( greater than 3 business days). I do not process refill requests on weekends or holidays.

Please request refills during appts.


After HOURS COMMUNICATION

Clinic hours are Monday and Tuesdays from 7:30am to 1:00pm. Medication changes are addressed during appointments but do call for concerns regarding side effects. If you have any questions or concerns, please call the clinic. 


URGENT CARE
& EMERGENCIES 

For urgent matters, please leave me a voicemail message, and I will do my best to get back to you as soon as possible. As a solo practitioner, I cannot provide emergency services. In case of emergency, call 911 or the Multnomah County Crisis Line (503-988-4888), or present to the nearest Emergency Room. 

If you are a family member or a friend who has safety concerns of my patient- please do not wait for me to call back in case of an emergency. Please call the non emergent police line 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.