Q: How do I become a patient?

A: Book a brief fit call (optional), complete online intake, then schedule your in-person diagnostic evaluation in Salem, NH or Boston, MA. Most follow-ups are telehealth (NH & MA).

Q: Do I need a referral?

A: No. Self-referrals are welcome. If you have prior testing or records, bring them—they help.

Q: How soon can I be seen?

A: We aim to schedule new-patient evaluations within 1–2 weeks, depending on availability.

Q: Do you see children or teens?

A: No—our practice is dedicated to adults (18+).

Q: I live in Massachusetts. Can I do everything by telehealth?

A: The initial diagnostic evaluation is in person in Boston, MA or Salem, NH. After that, most visits can be telehealth if you’re in NH or MA.

Q: Do you offer fully remote new-patient evaluations?

A: Not at this time. The first visit must be in person for accuracy and safety.

Q: What happens at the diagnostic evaluation?

A: We review your history (including childhood symptoms), use validated screeners, check vitals, rule out look-alikes (sleep, anxiety, depression, substance use), and discuss next steps.

Q: Do I need neuropsychological testing or QbCheck?

A: Not always. Many adults can be diagnosed based on clinical assessment plus rating scales. Additional testing is considered case-by-case.

Q: Can you diagnose other conditions too?

A: We screen for common overlaps (anxiety, depression, sleep issues) and coordinate care as needed.

Q: Do you prescribe stimulant medications?

A: Yes, when appropriate and safe. We also offer non-stimulants and non-medication strategies (sleep optimization, coaching, skills training).

Q: What if I prefer not to take medication?

A: That’s fine—many adults improve with structured behavioral strategies and coaching. We’ll build a non-med plan with you.

Q: How long until I notice improvements?

A: Some feel changes in days to weeks. Expect 4–12 weeks to fine-tune dose, timing, and routines.

Q: Why do you require an in-person visit first?

A: It improves diagnostic accuracy and safety (e.g., vitals, cardiac risk review).

Q: Will you check the PDMP?

A: Yes. We check the state Prescription Drug Monitoring Program when prescribing controlled medications.

Q: Do you require urine drug screens?

A: We may request baseline and/or random toxicology screens when clinically indicated to ensure safe prescribing.

Q: How do refills work?

A: Refills are provided at or after required follow-ups. Please request refills 3–5 business days in advance; we can’t back-date or rush controlled-substance refills.

Q: What if I miss an appointment?

A: We’ll help you reschedule quickly. Note that missed visits can delay refills for safety and compliance reasons.

Q: How often are follow-ups?

A: During dose-finding, every 4 weeks; once stable, typically every 3 months.

The first one month follow up is free

An annual in-person recheck is required.

Q: What platform do you use for telehealth?

A: A HIPAA-compliant video platform. Please join from a private, quiet space with good internet.

Q: Do you offer evening or weekend hours?

A: Limited slots may be available—check the scheduling link for current openings.

Q: Do you take my insurance?

A: No. we can provide a superbill for reimbursement.

Q: Can I use HSA/FSA funds?

A: Yes—HSA/FSA cards are typically accepted for qualified services.

Q: Will I see pricing upfront?
A: Yes—you’ll receive a transparent estimate before your visit. No surprise billing.

Q: Can you complete workplace or school forms?

A: Often, yes. We complete reasonable documentation related to ADHD care; some forms may require a recent evaluation or additional visit.

Q: Do you write letters for accommodations?

A: Case-by-case, aligned with clinical findings and objective data when available. Fees may apply.

Q: Can you coordinate with my therapist or PCP?

A: Absolutely—with your permission, we share summaries to keep your care team aligned.

Q: What’s the best way to reach you?

A: Use secure portal messaging for non-urgent questions and medication updates. Call or text during business hours for scheduling or time-sensitive issues.

Q: How fast do you respond?

A: We aim to reply within 3 business day. For urgent issues, call us; for emergencies, see below.

Q: What is your cancellation policy?

A: Please give 48 hours’ notice to avoid fees. This helps us keep access open for all patients.

Q: I’m running late—what should I do?

A: Call the office. We’ll try to accommodate; we may need to reschedule if there isn’t enough time to provide safe care.

Q: Are my visits private?

A: Yes. We use HIPAA-compliant systems. We release records only with your written consent or when required by law.

Q: How do I request my records?

A: Send a portal message or call the office; we’ll provide a simple authorization form and timeline.

Q: Do you provide emergency services?

A: No. If you are in crisis or at risk of harm, call 988, go to the nearest ER, or dial 911.