TOCDOC

Services

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New patient evaluation and management

Patients who are new to the clinic (first appointment) or returning to the clinic after a long gap in care would be considered for these appointments. These usually last about 60 minutes (face-to-face time), but could be longer based on complexity of the case.

Established patient management

These appointments are for patients already seen for a new patient appointment and are having regular follow-up with us. They usually last 25 minutes (face-to-face time) but could be longer if needed.

SPRAVATO Treatment

SPRAVATO is the new FDA approved treatment for Treatment-resistant Depression indicated for patients who have failed two adequate trials of other antidepressant medications. To learn more about this treatment, please visit https://www.spravato.com.

SPRAVATO (Esketamine nasal spray) is a controlled substance, with risk of abuse and side-effects that include sedation, dissociation, nausea, dizziness, increase in blood pressure, and others. REMS (Risk Evaluation and Mitigation Strategy) requires a consultation to establish appropriateness and eligibility for patients seeking the treatment. If deemed eligible, the medication is self-administered by the patient in a doctor’s office and monitored for adverse events by a REMS-Certified physician for at least 2 hours. Patients are not allowed to drive (or operate heavy machinery) after the treatment and are required to be accompanied by an adult.

Telepsychiatry

Most appointments discussed above can be provided via Telemedicine. We use a HIPAA-compliant, secure, easy to use Telemedicine service that can be accessed via PC and/or most mobile devices (including smartphones) from your home or any other convenient location

 

Services not offered at present time

  • Child & Adolescent services (Patients under age 18)

  • Disability assessments

  • Workmen’s compensation assessments

  • Forensic & legal assessments, including child custody issues

  • Crisis assessments for New patients. If you are experiencing active thoughts of harming self or others, please call 911 or go to the nearest emergency room for urgent safety evaluation.

  • Prescription of controlled substances via Telemedicine (as per The Ryan Haight Online Pharmacy Consumer Protection Act)

  • Psychological and/or Neuropsychological testing. These are done by Psychologists that specialize in those areas.

  • Admission to a Psychiatric or Medical hospital. We are an independent outpatient service and do not have privileges nor any affiliation with local/regional hospitals.

 

Fee schedule

We try to keep it simple and transparent. 

New appointment (50 mins)- $300
Follow-ups (25 mins)- $150
SPRAVATO Treatment Consultation (75 mins)- $450

At present time, we are “out-of-network” for most insurance plans. Many insurance plans have out-of-network benefits. If you see the terms “POS”, “PPO” or “out-of network” on your insurance card then you are likely eligible. Please consult with your insurance plan for details.

A Superbill will be provided if you want to submit a claim to your health plan for reimbursement. Download Reimbursify app for easy out-of-network claims filing.

Full payment is due at time of service. We accept personal checks and all major credit cards. You may choose to use Health Savings Account (HSA) and/or Flexible Spending Account (FSA) for payments.

 

Some of our perks

Personalized service and treatment plans
Easy secure access to your providers via secure messaging
Dedicated phone line for established patients
Flexible appointment types- Office based or Telemedicine
Convenient online appointment scheduling, including Saturdays
Online patient portal with 24/7 access to your treatment information
Electronic prescription of ALL medications
Secure HIPAA compliant electronic medical records

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