Treatment will only be effective if the client is engaged and actively involved; this includes family members of children and adolescents seeking treatment. I believe in working together toward treatment goals. It is important to ask questions about treatment if you are unclear about any aspect of treatment plans or goals.
For after hour emergencies, please call 911 or go to the nearest emergency room. Emergent situations include serious medication reactions or risk of harm to oneself or someone else. In the event of a mental health crisis, you may also contact:
Washington County Crisis Line 503-291-9111
Multnomah County Crisis Line at 503-988- 4888
Clackamas County Crisis Line 503-655-8585
As a courtesy we provide email communication with our clinic staff and providers through our HIPAA-compliant patient portal, which allows patients to send short emails a limited number of times between visits.
For non-urgent medically related questions, please limit email communication to clarifications of previously discussed issues. These should require a simple answer, such as "yes" or "no." Please allow up to 3 business days for a response. After 3 back and forth communications we do bill insurance for these communications and you will be responsible for any charges applied to your deductible or copays.
Please note, that many insurance providers do not allow these types of visits, and you will be billed at our non-insurance rates. Questions or requests that are related to administration, such as appointment scheduling or billing, should be directed to our staff. For more complex and/or urgent questions or requests, please call the clinic. Our staff will determine if your communication requires scheduling an appointment.
We are available in the office to answer your calls from 9:00 a.m. to 5:30 p.m. - Monday thru Thursday and from 9:00 a.m. to 3:00 p.m. on Fridays. We do have an answering service after hours for scheduling and billing questions.
If you need to leave a message for your provider, you may do so through the patient portal. Please allow up to 3 business days for a reply. If the issue is complex as to warrant a phone call or a lengthy email from your provider, we do bill insurance for these communications and you will be responsible for any charges applied to your deductible or copays. Please note, that many insurance providers do not allow these types of visits, and you will be billed at our non-insurance rates.
Many of the laboratory tests our physicians order are complex and are integral to diagnosing complex conditions. Because of this, lab results will only be discussed with your doctor at office visits. Results of these complex labs will not be available until you can discuss the findings with your doctor. If you need an appointment to review these, please call our office. Any lab results that do not need interpretation will be available on the patient portal after your doctor has reviewed them.
Please note that our office staff will not have access to your lab results until they are reviewed by your provider and/or are available on the portal.
LAB BILLING QUESTIONS
As a convenience we provide lab services in office. These samples are collected and processed for shipping to specialty labs or pickup by local labs. For this service we do charge a $25 lab processing and handling fee. This fee is NOT billable to insurance.
Our Medical Assistant will provide you with instructions prior to your collection and will provide you with instructions for paying these labs at the time of collection. If you have billing questions after the lab has received your samples, please contact that lab directly. We do not have access to billing information for labs.
Refills of medication are usually written at the time of your appointment. If you need a refill between appointments, please contact your pharmacy, and they will fax a refill request. Refills are not considered an emergency and will be handled between 9am and 5pm, within 48 business hours.
MEDICATION REVIEW & NEW PRESCRIPTION REQUESTS (outside of scheduled appointment)
If you would like review of your current supplements or prescriptions, please schedule a regular office visit. This can be billed to insurance. If you request review outside of a normal office visit, please note that we charge up to $75 non-billable to insurance for the provider’s time.
To refill the supplements prescribed from our natural pharmacy, please call the clinic or complete the pharmacy order form on the patient portal. You can pick up your refills at the clinic, or we can mail them to you. Please give our staff 48 hours' notice to prepare your order.
Unopened supplements purchased within 7 days can be returned for clinic credit only. If you have an unexpected reaction or intolerance to a particular supplement, please contact your provider to arrange a return and a credit to the card you purchased the supplement with.
To protect our patients who are sensitive to fragrances, we are a fragrance-fee clinic. Please refrain from wearing fragrances. This also includes odors of cigarette smoke or marijuana. These can trigger asthma attacks in certain patients.
Please call to cancel appointments, providing at least 48 hours’ notice. If you fail to cancel your appointment via phone within 48 hours, you will be charged the full cost for your appointment - $350 First Visit or $150 for return visits. One missed appointment per year will be forgiven.
We do understand that there are circumstances that may prevent you from getting to your appointment on time. If you are going to arrive more than 10 minutes late for your appointment, please call to reschedule.