Self-Pay Disclosures
Payment is due at the time of service.
New Patient Intake Visit
Comprehensive initial intake and evaluation.
Follow-Up Visits
Ongoing care and treatment follow-up.
QB Testing
FDA-cleared computerized testing when medically indicated and ordered.
Self-Pay Therapy
Individual therapy services for self-pay patients.
No-Show Fee
Applied when an appointment is missed without sufficient notice.
Instructions
- Estimated cost of care can vary per medical conditions, some require more frequent visits monitoring for safety and some can have extended visits intervals.
- Follow up interval is up to the discretion of the medical provider for safety of medical conditions being treated.
- Medical refills and change in medical conditions require visit.
- Please read consent forms carefully of what we can and can’t do- examples but not full list: we do not write for benzodiazepines, we do not sign disability forms, we do not write for stimulants (no Adderall) for Illinois and Washington patients. (Adderall/stimulant option only available in state of Florida currently)