Frequently asked questions

Scheduling

How do I schedule an appointment?

Follow the directions found here: Contact Us



How soon can I get an appointment?

Typically, patients can see Dr. Reiner within 1-2 weeks after they inquire about an appointment



What if I need to cancel or reschedule an appointment?

  • You can cancel your appointment up to 24 business hours before your appointment without charge
  • Because it is challenging to fill a time slot on such short notice, the full fee will be charged if you cancel less than 24 hours before your appointment



Fees/Insurance

Do you accept insurance, Medicare, or Medicaid?

Please refer to the Fees & Services section of the website. Insurance:

  • Many of my patients get reimbursed by their insurance providers even though I am out-of-network
  • I provide patients with a receipt called a "superbill" that you can provide your insurance company after your visit. Doing so can help them reimburse you.
  • Please speak with your insurance company for any questions prior to your visit
Refer to this website for questions that you can ask your insurer about out-of-network benefits. Medicare & Medicaid: Similar to insurance, we do NOT accept Medicare nor Medicaid. These services involve high administrative burdens and billing requirements that would be very time intensive and would likely require more staff than is available in this practice



How much does an appointment cost?

Fees can be found here: Fees and Services



Services

What services do you not provide?

Certain conditions are not appropriately treated through telepsychiatry, including:

  • Active eating disorders (e.g., binging, purging, anorexia)
  • Severe alcohol or drug addiction/abuse
  • Any set of symptoms deemed by Dr. Reiner at any point to be severe enough such that a higher level of care is required
  • See full policies for more details
Due to regulatory requirements, for patients who are seen exclusively via telemedicine/video-visits, we cannot prescribe controlled substances including:
  • Stimulants for ADHD such as Ritalin, Adderall, etc.
  • Sedative/hypnotics for insomnia such as Ambien, Sonata, etc.
  • Benzodiazepines/Anxiolytics for anxiety such as Ativan, Xanax, Klonopin, etc.
For patients currently on controlled substances, we cannot continue them or prescribe them if all visits have been via telemedicine/video-visits. We make effort to prescribe alternatives to controlled substances to address symptoms to reduce risk



Do you provide video-visits/telepsychiatry visits?

Yes! In fact, all visits are telepsychiatry visits at this point in time due to COVID. Depending on COVID and patient need/demand, we may offer in-person visits in the future



Communication

What if I need to contact you during non-office hours?

  • If it is an emergency (e.g., if you are having thoughts of wanting to harm yourself or someone else), please call 911 so you can have an emergency evaluation
  • Please limit after-hours calls to urgent situations
  • If your situation is non-urgent, the best way to reach me is through the patient portal
  • Please refer to the policies regarding telephone calls, medication refills, etc.
  • If I am out of town or on vacation, I will coordinate with you in advanced. In some situations, I may arrange for another psychiatrist to cover my patients but please remember that this psychiatrist may have limited prescribing ability



How can I contact you?

  1. Via the patient portal (if you are accepted as a patient)
  2. Via email*: wade@westcoastpsych.com
  3. Via phone: (206) 486-5225
*Disclaimer: If you choose to email me, you must accept the following: The risks associated with utilizing email to obtain information regarding appointment reminders, billing, brief communication, and other content. West Coast Psychiatry has no control over how clients secure their own devices and accounts or the agreements which govern their terms of use.



Emergencies

What if I am in an emergency right now?

  • Call 911 for police assistance if the situation is life threatening or if it looks like someone may get hurt
  • If there is no immediate physical danger, call Crisis Connections at 206-461-3222 or 1-866-427-4747, or visit www.CrisisConnections.org. Crisis Connections can help link you to available and appropriate resources; their services lines are available 24/7, 365
Here are some other potentially useful numbers:
  • National Suicide Prevention Lifeline: 1-800-273-TALK (8255)
  • National Domestic Violence Hotline: 1-800-799-7233
  • Self-Harm Hotline:1-800-DONT CUT 1-800-366-8288
  • Family Violence Helpline: 1-800-996-6228
  • National Council on Alcoholism & Drug Dependency Hope Line: 1-800-622-2255
  • RAINN (Rape, Abuse & Incest National Network)
    • RAINN is the nation's largest anti-sexual violence organization. RAINN created and operates the National Sexual Assault Hotline
    • 800.656.HOPE
    • Rainn.org
    • Rainn.org/es
  • The Trevor Project
    • A national organization providing crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender, queer & questioning (LGBTQ) young people under 25
    • https://www.thetrevorproject.org/