If you are a patient and have questions or concerns outside of business hours, please call the clinic phone number or message me through the patient portal. Please be judicious when calling outside of normal business hours. 

As a solo practitioner, I cannot provide emergency services. In case of emergency, call 911, the Multnomah County Crisis Line (1-800-716-9679), the Clark County Crisis Line (800-626-8137), 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 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.

I ask that patients provide 2 business days of advance notice for appointment cancellation. Missed appointments and late cancellations will incur a cost. Please be aware that insurance does not cover these fees. A first-time late cancellation or missed appointment will not be penalized. Subsequent episodes will incur a flat fee of $200.

In order to ensure you do not miss doses of medication, when requesting refills outside of appointments, please:

1. Check with your pharmacy to see if you have any remaining.
2. 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.

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.