✺ Frequently asked questions ✺

  • We provide psychiatric evaluation and diagnosis, medication management, and psychotherapy. Services are available in person and by secure telehealth where legally allowed.

  • Your first appointment (about 60 minutes) is a full psychiatric evaluation. We review your history, current concerns, and goals. Sometimes a second visit is needed to finish the assessment. There is no guarantee that previous medications will be continued.

  • Follow-up visits for medication or therapy are usually 15–45 minutes. Frequency depends on your needs, stability, and medication changes. For controlled substances, you must be seen at least every 3 months.

  • We bill insurance when possible, but you are ultimately responsible for charges. Many plans require a diagnosis, may limit visits, or need prior authorization. Standard fees (if not using insurance or sliding scale) are as follows:

    • Initial evaluation: $250

    • Medication follow-up: $120

    • Therapy session: $150
      Please ask about our sliding scale. Our sliding scale is available based on income. Proof of income is required.

  • Late cancellations and no-shows may be charged a $50 fee, based on the insurance policy. Multiple missed or late appointments can result in ending services and referral elsewhere. For telehealth, being out of the provider’s licensed state may also count as a late cancellation.

  • Yes. Telehealth is used when clinically appropriate and allowed by law. You must be physically located in the state where your provider is licensed at the time of your visit. Telehealth is not appropriate for emergencies.

  • Your information is confidential except when required by law (for example, safety concerns or abuse reporting) or insurance. We may consult with other professionals to support your care while protecting your identity as much as possible.

  • We do not provide emergency services. In a crisis, contact 911, go to the nearest emergency room, or use local crisis resources (such as 988 or a crisis hotline). Do not use email, text, or the patient portal for emergencies.

  • We may ask for random urine drug screens or pill counts. If results show concerning substances or monitoring is not followed, controlled medications may be reduced or stopped.

  • Possibly. Paperwork is completed only when clinically appropriate and at the PMHNP’s discretion. FMLA or disability-related paperwork is only completed if there is an established client Nurse Practitioner relationship. It is not done at the first visit, requires a dedicated appointment, a signed Release of Information, and may take up to 10 business days.

  • Guardians provide consent based on state law and custody orders. Parents may receive information about treatment, but older minors are involved in decisions about what is shared, unless there is a safety or legal concern. Accurate custody documentation is required.

  • Guardians provide consent based on state law and custody orders. Parents may receive information about treatment, but older minors are involved in decisions about what is shared, unless there is a safety or legal concern. Accurate custody documentation is required.

  • In Colorado, minors 12 and older can, in some situations, consent on their own to outpatient psychotherapy. At 15 and older, they can consent to a broader range of mental/behavioral health services. When safe and appropriate, we still encourage family involvement.

  • Yes. Psychiatric medication is treated as a medical intervention. For anyone under 18, a parent or legal guardian is generally required to provide consent before starting, stopping, or changing psychiatric medications, and to help monitor response and side effects.

  • Outside of narrow emergency or hospitalization situations, no. Even if a minor can see a therapist alone, we still require a parent or legal guardian’s consent and involvement for routine outpatient medication management.

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