Office Policies

Aspire ADHD is committed to providing safe, reliable, and timely psychiatric care. Our office policies help establish clear expectations, support continuity of care, and allow us to provide appropriate access to appointments for all patients.

Please review these policies before scheduling or receiving services.

We understand that unexpected circumstances may occur. If you need to cancel or reschedule an appointment, please provide at least 24 hours' notice.

The following fees apply:

• Initial evaluations cancelled or rescheduled with less than 24 hours' notice: $100
• Follow-up appointments cancelled or rescheduled with less than 24 hours' notice: $50
• Missed appointments without notice may be charged the applicable late cancellation or no-show fee.

Cancellation and no-show fees are not billed to insurance and are the patient's responsibility.

Repeated late cancellations or missed appointments may result in limitations on future scheduling or termination of the patient-provider relationship.

Patients should be ready and available at the scheduled appointment time.

Patients arriving late may have a shortened appointment or may need to reschedule if there is insufficient time to provide safe and appropriate care.

A rescheduled appointment due to late arrival may be subject to the applicable cancellation fee.

Patients are responsible for attending appointments as recommended by their provider to support safe prescribing and continuity of care.

The frequency of follow-up appointments is determined by clinical need, medication monitoring requirements, and applicable federal and state regulations.

Prescription medications, including controlled substances, may not be prescribed or refilled when required follow-up appointments or monitoring requirements have not been completed.

Please request medication refills at least 72 business hours before your medication runs out.

Refill requests should be submitted through the secure patient portal or other approved communication method.

Medication refill requests are reviewed during regular business hours.

Patients are responsible for monitoring their medication supply and requesting refills in a timely manner.

Prescription refills are not guaranteed without appropriate clinical follow-up.

Early refills of controlled medications are generally not provided.

Lost, stolen, damaged, or misplaced controlled medications may not be replaced before the next scheduled refill date.

Patients are responsible for storing medications securely and protecting them from loss, theft, or unauthorized use.

Suspected theft of controlled medication may require documentation, such as a police report, before the provider will consider whether a replacement prescription is clinically appropriate.

Submission of documentation does not guarantee that medication will be replaced.

Controlled medications, including stimulant medications, are prescribed only when clinically appropriate and after completion of required evaluation and monitoring.

Patients receiving controlled medications may be required to:

• Attend appointments at the frequency determined by their provider
• Provide accurate information about all medications and controlled substances being prescribed by other healthcare providers
• Use one pharmacy for controlled medications whenever reasonably possible
• Complete urine drug screening or other toxicology testing when clinically indicated
• Participate in random medication counts
• Complete laboratory testing, EKGs, vital sign monitoring, or other medical assessments when clinically indicated
• Comply with applicable controlled-substance treatment agreements and monitoring requirements
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Failure to complete required monitoring may result in controlled medications not being prescribed or refilled.

Aspire ADHD reviews applicable state Prescription Drug Monitoring Programs (PDMPs) in accordance with clinical practice standards and legal requirements.

Patients must inform their provider of controlled medications prescribed by other healthcare professionals.

Obtaining controlled medications from multiple prescribers without informing your provider may result in modification or discontinuation of controlled-substance prescribing.

Patients prescribed controlled medications may be asked to participate in random medication counts.

Patients must comply with medication count requests within the timeframe specified by the practice.

Failure to complete a requested medication count may result in modification or discontinuation of controlled-substance prescribing.

Urine drug screening or other toxicology testing may be required when clinically indicated.

Testing may be used to support medication safety, evaluate adherence to treatment recommendations, identify potential medication interactions or substance use concerns, and guide clinical decision-making.

Refusal or failure to complete requested testing may affect the provider's ability to safely prescribe certain medications.

Non-urgent clinical questions, refill requests, and administrative concerns should be submitted through the secure patient portal or other approved communication method.

Messages are reviewed during regular business hours.

Please allow up to 2 business days for responses to non-urgent messages.

Complex clinical concerns, medication changes, new symptoms, and requests requiring significant medical decision-making may require an appointment.

Electronic messaging is not a substitute for an appointment or emergency medical care.

Patients receiving telehealth services must be physically located in a state where their treating provider is licensed and authorized to provide care at the time of the appointment.

Patients must provide their current physical location when requested.

Telehealth appointments should be completed in a private, safe environment that allows for confidential communication.

Patients should not participate in telehealth appointments while driving or operating a vehicle.

The provider may require an in-person appointment when clinically appropriate or when necessary to comply with applicable laws, regulations, or prescribing requirements.

Requests for medical records, letters, forms, disability paperwork, school documentation, employment documentation, or other administrative services should be submitted with adequate notice.

Completion times vary depending on the complexity of the request.

Fees may apply for certain forms, letters, reports, or administrative services that are not covered by insurance.

Completion of requested documentation is not guaranteed and is based on clinical appropriateness and available medical information.

Aspire ADHD does not provide emergency psychiatric services or 24-hour crisis coverage.

If you are experiencing a medical or psychiatric emergency, are in immediate danger, or are having thoughts of harming yourself or another person, call 911 or go to the nearest emergency department.

You may also call or text 988 to reach the Suicide & Crisis Lifeline.

Do not use the patient portal, email, voicemail, or routine office messaging for emergency situations.

Patients, family members, caregivers, staff, and providers are expected to communicate respectfully.

Threatening, abusive, discriminatory, harassing, intimidating, or disruptive behavior toward staff, providers, or other patients will not be tolerated.

Serious or repeated violations may result in termination of the patient-provider relationship in accordance with applicable legal and ethical requirements.

Aspire ADHD may terminate the patient-provider relationship when clinically, ethically, or administratively appropriate.

Reasons may include, but are not limited to:

• Repeated missed appointments or failure to maintain required follow-up
• Failure to comply with required medication monitoring or safety requirements
• Providing false, misleading, or incomplete information that affects safe treatment
• Misuse, diversion, alteration, or unauthorized use of prescribed medications
• Obtaining controlled medications from multiple providers without appropriate disclosure
• Threatening, abusive, harassing, or disruptive behavior
• Failure to resolve outstanding financial obligations or establish an approved payment arrangement
• Breakdown of the therapeutic relationship that prevents safe and effective care

When appropriate and required, patients will receive written notice and information regarding continuity of care.

If you have questions about Aspire ADHD's office policies, please contact our office before scheduling or receiving services.

By scheduling and receiving care from Aspire ADHD, patients acknowledge their responsibility to follow applicable office policies, financial policies, treatment agreements, and clinical monitoring requirements.