Overview of Policies
After Hours Communication
Clinic hours are Tuesday-Friday from 9am to 4pm. If you are a patient and have questions or concerns outside of these hours please call my clinic phone, or message me through Spruce, the secure patient portal. Please be judicious when calling outside of normal business hours. For more urgent matters, please leave me a voicemail message and I will do my best to get back to you as soon as possible. If you are experiencing an emergency, please see below.
Emergencies & Urgent Care
As a solo practitioner, I cannot provide emergency services. In case of emergency, call 911, the Multnomah County Crisis Line (503-988-4888, toll-free: 1-800-716-9679), 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 (503-823-3333) 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.
Cancellations & Missed Appointments
I ask that patients provide 48 hour notice advance notice for appointment cancellation. Missed appointments and cancellations will be charged the cost of the appointment. Please be aware that insurance does not cover these fees. A first-time cancellation within 48 hours of the scheduled appointment will not be penalized. A second time cancellation within 48 hours of the scheduled appointment will result in a fee equivalent to half the amount of the normal cash rate. A third (or beyond) cancellation within 48 hours of the scheduled appointment will result in a fee of the full normal cash rate.
Medication Refills
In order to ensure you do not miss doses of medication, when requesting refills outside of appointments, please
Check with your pharmacy to see if you have any remaining.
Please notify me at least 3 business days in advance if further refills are required so I can best get them to you when needed. I typically do not process refill requests on weekends or holidays.
Controlled Substances
While I believe some patients may benefit from medications such as stimulants (Adderal, Ritalin, etc) and benzodiazepines (Xanax, Ativan, and Klonopin, etc), the risks often outweigh the benefits. As such, I only prescribe these medications in select situations for well-established patients.