Information & Policies

Our providers include psychiatric nurse practitioners and licensed clinical social workers with specialized training in a wide range of psychiatric conditions. We offer both in-office and telehealth appointments throughout New Hampshire.

We are not an emergency or crisis service. If you are experiencing a psychiatric emergency, please call 911 or go to your nearest emergency room. For crisis support, call or text 988.

New patient appointments are typically 60–90 minutes and include a comprehensive psychiatric evaluation covering your history, current symptoms, prior treatments, medications, and goals. Follow-up appointments are generally 20–30 minutes.

To schedule a new patient appointment, please call our office at (603) 718-3939 or submit an inquiry through our Getting Started page. We will contact you to confirm availability and complete intake paperwork before your first visit.

Telehealth visits are conducted via a secure video platform. You will receive a link prior to your appointment. Please log in a few minutes early to test your connection.

To have a successful telehealth visit, you will need a smartphone, tablet, or computer with a working camera and microphone, a stable internet connection, and a private, quiet space where you can speak freely.

Telehealth is not available for all services. Spravato® (esketamine) treatment and NeuroStar® TMS therapy require in-person visits. Please contact our office to confirm telehealth eligibility for your specific needs.

We recommend contacting your insurance company before your first visit to confirm your mental health coverage, co-pay or coinsurance amounts, deductible status, and whether prior authorization is required for psychiatric services.

Self-pay and sliding scale options are available for patients without insurance or with limited coverage. Please contact our office for current self-pay rates.

For billing questions, please contact our billing team at [email protected] or call (603) 718-3939.

Late cancellations (less than 24 hours' notice) and no-shows may be subject to a fee. Repeated late cancellations or no-shows may result in discharge from the practice.

We understand that emergencies and unexpected situations arise. Please contact our office as soon as possible if you need to cancel or reschedule. Reaching out promptly allows us to offer your appointment time to another patient in need.

To cancel or reschedule, please call (603) 718-3939 or send a message through your patient portal.

Please plan ahead and request refills at your appointment before your medication runs out. Do not wait until you have run out of medication to contact us — processing a refill request outside of an appointment may take additional time.

Controlled substance prescriptions (such as stimulants for ADHD and benzodiazepines) are subject to additional requirements under New Hampshire law and federal regulations. These may include regular monitoring appointments, urine drug screening, and prescription drug monitoring program (PDMP) checks.

If you have a question about a refill, please contact our office at (603) 718-3939 or send a message through your patient portal.

If you are experiencing a psychiatric emergency — including thoughts of suicide or self-harm, thoughts of harming others, or a mental health crisis — please call 911 or go to your nearest emergency room immediately.

For crisis support, call or text the 988 Suicide & Crisis Lifeline by dialing 988. The Crisis Text Line is also available: text HOME to 741741.

For non-urgent after-hours concerns, please leave a message at (603) 718-3939 and we will return your call on the next business day.

We will not share your health information without your written authorization, except as required or permitted by law. Permitted disclosures include treatment coordination with other providers, billing and payment activities, and mandatory reporting obligations.

Substance use treatment records carry additional federal privacy protections under 42 CFR Part 2 and may not be disclosed without your specific written consent, except in limited circumstances.

You have the right to access your records, request corrections, restrict certain disclosures, and receive a copy of our Notice of Privacy Practices. To request records or submit a privacy-related inquiry, please contact our office.

Your rights include receiving respectful and dignified care regardless of your background; being informed about your diagnosis, treatment options, and the risks and benefits of treatment; participating in decisions about your care; and refusing treatment.

Your responsibilities include providing accurate and complete information about your health history, current medications, and substance use; following your agreed-upon treatment plan; keeping scheduled appointments or canceling with appropriate notice; and communicating openly and honestly with your provider.

This right applies if you are uninsured or if you choose not to use your insurance for services. You can ask for a Good Faith Estimate before scheduling an appointment or at any time during your care.

The Good Faith Estimate shows the expected cost of items and services reasonably expected for your care. It does not include costs for unexpected complications or additional services not listed.

If your final bill is $400 or more above the Good Faith Estimate, you may be able to dispute the bill through the federal dispute resolution process. For more information, visit www.cms.gov/nosurprises or contact our office.

ADHD evaluations at our practice include a comprehensive psychiatric assessment and may include objective testing using QbCheck, a FDA-cleared computerized performance test. Diagnosis is based on clinical evaluation and does not rely solely on any single test.

Stimulant medications (such as amphetamine and methylphenidate products) are Schedule II controlled substances under federal law. Prescribing these medications requires regular follow-up appointments, prescription drug monitoring program (PDMP) checks, and may require urine drug screening. Prescriptions cannot be called in or faxed — they are issued electronically or in writing at appointments.

Patients who miss appointments, do not comply with monitoring requirements, or exhibit concerning patterns of use may have their stimulant prescription discontinued.