Here are some of our most important policies:

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Process of Establishing Care:

• First, request your appointment here and wait for Dr. Reiner to give you a call for a quick conversation to potentially confirm the appointment request

• Sign up for the patient portal (if an initial visit is agreed upon)

• Fill out forms (consents, waivers, clinic policies). These are required for your first visit

• Have your initial appointment(s)

  • The intake appointment(s) serve as a consultation only​. We may come to the mutual agreement to establish care

  • You may decide to seek care elsewhere, or I may decide that you require care best served from another provider or in another treatment context​

  • If you miss your first appointment, it will not be rescheduled

  • Most appointments are via video-visits/telepsychiatry given COVID. There may be in-person appointment availability in the future

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Follow-up Appointments:

• Frequency of visits is dependent on your clinical needs. Most patients follow-up every few weeks to every month​​

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Medication Management:

• 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

• If controlled medications are prescribed at a later date (which would require in-person visits):

  • No early refills will be provided​ even if medications are stolen or lost 

  • Appointments are required for refills and dosage adjustments

• Prescription Monitoring Program database can be utilized to understand a patient's controlled prescription history. This is done to avoid excessive use of controlled substances

• Toxicology screens may be utilized during the course of your treatment

• Prescription refill requests must be placed one week in advanced

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Billing and fees:

• Appointment fees are charged for my time to provide an assessment and plan. Fees are not conditional on receiving a particular diagnosis or treatment. If you ultimately decide to pursue subsequent care elsewhere, fees are still required for the initial evaluation

• A credit card on file is required to schedule visits

• Please refer to the fees page for details on fees charged for certain communications and administrative work

• Cancellations and missed appointments

  • Missed appointments will be charged the full fee. Being 10 or more minutes late is considered a missed appointment

  • Cancellations >24 hours in advanced of a visit will not be charged

  • Cancellations <24 hours in advanced will be charged half the appointment rate

  • Missed appointment and cancelled appointment fees are unlikely to be covered by insurance

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Communication:

• For emergencies where you or someone else is in danger, please call 911 and/or go to the nearest ER

• Most between-visit communication will occur through the patient portal

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For full policy details, please refer to the documents that will be sent before your intake appointment

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