Intro Call Schedule an Intro Call to see if we are a good match! If we believe your care is outside of our expertise, will will do our best to direct you to the right place for you. ​ 1st Visit A comprehensive health history including full health history, review of medications and supplements, discussion about the vision you have for your health and life. Begin to develop a plan of care. We will also determine at this visit if you would benefit from a higher level of care. ​ If you are an adult seeking ADHD care and have not had a neuropyschological evaluation done, you will need to complete a Cognifit test prior to our first appointment. Our office will order this for you once payment method provided. We will also request any prior evaluations done. ​ Please have your blood pressure and heart rate taken before the first visit (can be done at a pharmacy, typically, or you can order a blood pressure cuff online). Discussion of labs which may help understand your health. Please note insurance does not always cover the labs we use in integrative care. ​ 2nd Visit Continue evaluation, review previous evaluations and records, review labs and continue to work on plan of care. Discuss medication, supplement, and other treatment options. ​ 3rd and subsequent visits Continue to monitor and support your goals, making adjustments as needed.

Well, maybe. There are some changes pending with the FDA and how we are able to treat certain conditions via tele-health. We ask that you have your primary care provider fill out a referral form just in case. However, it is not needed to get started!

Clarity Health providers are in-network with Aetna, Blue Cross Blue Shield/Regence, Cigna, First Choice, Moda, Pacific Source, Providence, Regence, Samaritan and United Health. Not all providers take all insurance plans, so please reach out for more information. If you are self-pay or have another insurance company, we will provide forms for insurance and HSA reimbursement after each visit. Depending on your insurance plan, visits are frequently reimbursable. Ask our team how this works! It is common for insurance companies to reimburse 70-80% for out-of-network visits. Take a look at Reimbursify which helps patients file claims easily and quickly.

We've partnered with Mentaya, a service that streamlines getting reimbursed for your therapy sessions through out-of-network benefits. Mentaya is perfect if you: • Have out-of-network benefits • Feel overwhelmed by superbills and insurance • Have submitted superbills but failed to get any reimbursement • Simply want to skip the hassle of paperwork! Here's how it works: 1. Sign up for Mentaya: https://mentaya.co/inviteclient/iC7Uq0g2q2eZYLTbmIhl 2. Our practice will enter your sessions into the platform. 3. Mentaya submits the claim and handles any insurance follow-up. 4. You get reimbursed by insurance! Mentaya charges a 5% fee per claim, which includes handling any paperwork required, dealing with denials, and calling insurance companies. It's risk-free: They guarantee claims are successfully submitted, or a full refund of their fees.

Please be aware that we do not provide Care for certain issues are beyond what we believe we can safely care for in our practice. Some examples include schizophrenia, psychosis, bipolar I, suicidal ideation, recent hospitalization or discharge, some eating disorders, substance use. This list is not exhaustive and our providers have the motto "refer early, refer often." This means we will refer early to a higher or different level or type of care if we believe it is in your best interest. Neuropsychological testing Legal advice or legal consultation Legal forms to endorse an emotional support animal or service animal Court-mandated psychiatric evaluations or forensic reports on your mental status or return to work evaluations FMLA, short-term or long-term disability assessments or endorsements, on a first visit or with new patients (less than 1 year)

Clarity Health does not provide direct healthcare services. Independent Nurse Practitioners contract with Clarity Health to assist with practice management (i.e. scheduling and billing services). Each nurse practitioner is responsible for the medical decision making in their practice along with decisions regarding all aspects of care.

We do not provide after hours or emergency services. Please call 911 or seek ER care for emergencies. You may also reach out to your PCP's after hours care line. National Suicide Prevention Hotline (Veteran's Press 1): 800-273-8255 Text HOME to 741741 Text or call 988 Oregon Multnomah County Mental Health Crisis Line: (503) 988-4888 Washington County Mental Health Crisis Line: (503) 291-9111 Clackamas County Crisis Line: (503)655-8585 Yamhill County Crisis Services Emergency Crisis Contact Number: (844) 842-8200 Marion County Psychiatric Crisis Center: (503) 585-4949 County Mobile Crisis (Eugene/Portland) CAHOOTS (541)687-4000 Kaiser: Mental health evaluation and referral: (503)249-3434 Monday thru Friday 8-5 Or they have a 24/7 emergency line 1(866) 453-3932 Oregon Hospital Access Providence: https://oregon.providence.org/our-services/p/providence-behavioral-health-adult-inpatient-treatment/ Cedar Hills: https://cedarhillshospital.com/ Unity: https://www.unityhealthcenter.org/ Cascadia Behavioral Healthcare (substance tx): https://cascadiabhc.org/services/crisis-intervention/ Salem Hospital: https://salemhealth.org/services/adult-psychiatric-medicine-center Marion County Psychiatric Crisis Center: https://www.co.marion.or.us/HLT/MH/pcc Colorado Colorado Crisis Services 1-844-493-8255 Youth Mental Health Crisis Response 1-888-989-9990 Support Hotlines (Trevor Project, LGBTQ, Trans-Specific): https://pflag.org/hotlines National Suicide Prevention Hotline (Veteran's Press 1): 800-273-8255 Text HOME to 741741 Walk-in Crisis Center Denver, https://www.wellpower.org/ Walk-in Crisis Center Colorado Springs, Diversus, https://diversushealth.org/locations/lighthouse-acute-services-and-walk-in-center/ Colorado Hospital Access Colorado Springs: UC Health Memorial, 1400 E Boulder St, Open 24 hours · (719) 365-5000 Penrose Centura, 2222 N Nevada Ave, Open 24 hours · (719) 776-5000 Denver: Centura Denver, 7000 E Hampden Ave, Denver, CO, 80224, Phone: 303-925-4199 UC Health Cherry Creek, 100 Cook Street Denver, CO 80206

Clarity Health encourages patients to use the Charm Electronic Health portal for all communication. Email and messaging via Charm is primarily used for sending and receiving patient documents, or for discussing simple clarifications from recent visits and management of side effects of recently prescribed therapies. Patients with complex questions requiring a detailed response or questions outside of a recent visit will be charged a $50 review fee. Patients with complex symptoms, side effects or new symptoms need to call the office to schedule a video or phone appointment with their provider. Complex or new symptoms cannot adequately be addressed by email. Medication changes are not made via messaging or email.

At Clarity Health, we specialize in providing services for individuals with symptoms of inattention, insomnia, depression, anxiety, and some mood disorders. We also see individuals who have experienced trauma, grief, and life changes that have caused significant stress and emotional distress. However, we do not currently see anyone with persistent severe mental health conditions or diagnoses such as schizophrenia, bipolar 1, psychosis, borderline personality disorder, or anorexia nervosa. Additionally, we do not treat substance use disorder (including alcohol use disorder) or offer evaluations for court or legal proceedings. We are dedicated to providing high-quality care and support to each of our clients within our areas of expertise. Please reach out to our team if you have any questions or concerns about the services we offer.

We generally see those who are 16-65. However, we do occasionally see younger children for detailed nutrition and health consultation only (no medication management). Providers vary in the ages they care for with some seeing younger patients. Please reach out if you need care and we will verify if we have a provider available!

We primarily treat anxiety, attention deficit, depression, social anxiety, insomnia, and issues related to thyroid, hormones and lifestyle.

Yes. We prescribe medication which clinically indicated and necessary based on your evaluation. We always talk through the benefits and risks of each option including non-medication options.

Yes. In general, those with the following conditions are best suited for ongoing, in-person care. For this reason, these are conditions we generally do not treat. Persistent severe mental health conditions, anyone with recent hospitalization, or diagnoses such as schizophrenia, bipolar 1, psychosis, personality disorder or anorexia nervosa. We do not treat substance use disorder (including alcohol use disorder) or offer evaluations for court or legal proceedings. This list is not comprehensive and we may recommend higher level care at any time depending on individual circumstance.

We are in-network with Aetna, Cigna, First Choice Health, MODA, Pacific Source, Providence, Samaritan and United Health plans which generally cover those living in Oregon, Washington and a few other states. If you have a high-deductible plan, check out our self-pay rates. Sometimes it is cheaper to go the self-pay route! You have the option to opt-out of using your insurance benefits. ​ We bill insurance as a courtesy. It is your responsibility to call your insurance company so that you are fully aware of what your benefits are and to understand the extent of your potential reimbursement of payment for our services from your insurance company. We do not verify your benefits. You will need to do this. ​ Co-pays, deductibles and out-of-pocket obligations are due at the time of service and a credit card deposit is required at the time the appointment is made. If using a debit card, we require that the visit be paid 48 hours in advance. Insurance companies set the rates for visits. Please reach out if you would like to know the most common billing codes.

Yes! You can use your HSA (Health Savings Account) and FSA (Flexible Spending Account) to pay for Clarity Health Services as well as most labs and compounded prescriptions.

Our providers set their fees for self-pay based on time and vary from provider to provider. Rates are based on both time and comparable community rates. Please reach out to the office for fees for your provider of choice. Comprehensive First Visit (60-90 minutes) - $300-$425 1st Visit includes full review of your records (20-30 minutes before our visit) Visits charged based on time needed for care as well as complexity of care Follow-up visits in-person or by video (30 minutes) - $130-$150 Follow-up visits in-person or by video (40 minutes) - $230 Online Cognifit ADHD test - $25 Phone calls - $50 per 10 minutes Forms and letters - $50 per 10 minutes ​ Missed visits or late cancellations (without 48 hours notice) - Billed at visit rate. Insurance will not cover. ​ ​ We provide a Superbill (or invoice) which you may use to seek reimbursement with your insurance company. There is a company called Reimburisfy which will do this for you for a very small fee.

Some insurance companies may reimburse for services, but this depends on your specific insurance plan and deductible. You may option to pay for your services out-of-pocket and submit your receipts to your insurance provider for possible reimbursement. Superbill is a company that will help determine your coverage and help you with reimbursement.

Unfortunately, we are not able to see any patient who is currently covered under any government sponsored program (i.e. Medicare or Medicaid) at this time due to state and national regulations for cash based services.

We are a small practice and missed appointments are very difficult for our practice. We often have a wait list and are unable to fill spots if you give us less then 48 hours notice. Please let us know at least 48 hours in advance if you need to cancel or reschedule to avoid the missed visit fee. Missed visits or late cancellations are billed at the visit rate and insurance will not cover this fee. ​

If you are direct-pay (or self-pay), you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. ​ You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. ​ If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises

Most providers require 2-3 visits along with online testing for a full evaluation. At Clarity Health, your provider may also ask for additional information from family members or others close to you to complete the evaluation process. There are a number of diagnoses that overlap with ADHD, and your provider will work with you to evaluate your symptoms and determine the appropriate diagnosis. Treatment may include medication, therapy, or a combination of both, and your provider will work with you to develop a personalized treatment plan. We may also advise neuropschological testing after our evaluation. At Clarity Health, we prioritize open communication and collaboration with our clients to ensure the best possible outcomes for their mental health.

ADHD care is generally offered for those 18-50. If you are over 50 and have been on medication for a long time, we would be happy to review your records to see if it will be a good fit.

Before beginning treatment with Clarity Health for ADHD psychiatry, we require copies of your full neuropsychological testing and all past medical records. We ask that these records be sent directly from your provider's office to ensure their accuracy and completeness. This information is necessary for our team to develop a comprehensive treatment plan tailored to your specific needs and medical history. We also run a comprehensive background check of national controlled substance databases to ensure safe prescribing.

Your provider will want to see you every 1-3 months depending on your course of care. Periodic in-person visits will also be required.

The following are the labs we use most often for genetic testing. Some insurance companies will cover a portion of the cost. Please reach out to the lab for information on your anticipated cost. Let us know if you would like to order this test before your first visit, and we can place the order for you. Tempus *Best self-pay option Genomind *Best option with insurance Genesight

MTHFR stands for methlytetrahydrofolate reductase and is an enzyme in your body that helps convert folic acid into l-methyl-folate. This conversion is essential for so many of your methylation cycles and is a key player in the synthesis of DNA, RNA and amino acids. Amino acids play a huge role in how your neurotransmitters function. Seeing the connection? Depending on your genetic variants, we may recommend a trial of l-methylfolate. Check out the following resources for a deeper dive: My Gene Food Genesight

COMT is a gene that it responsible for the enzyme catechol-O-methyltransferase. This enzyme helps breakdown a number of neurotransmitters including dopamine and norepinephrine. When a variant is present, it can indicate either a fast or slow breakdown of these neurotransmitters. Check out these resources to learn more: Genetic Life Hacks Nature Article

Hormone Replacement Therapy (HRT) seeks to restore the physiologic hormone balance in your body. No two people are the same, so our process seeks to identify the right treatment for you through specialized labs and custom prescriptions. We do not offer hormone replacement therapy at this time but offer testing to figure out your baseline and as a starting point. We offer referrals for HRT management. Read more here.

We typically begin with traditional blood work through a local lab (i.e. Quest or Labcorp) then choose additional labs based on a thorough review of your health history and goals. The following labs are ones we commonly use: ZRT DUTCH

Yes! I ask the following questions when considering a brand recommendation: Are they pure? Are they void of heavy metals, contaminants and unnecessary fillers? Do they provide independent lab analysis of their product? Are they willing to show that their product has in it what it says it has in it? Are they responsive and responsible to consumers and providers?

Great question. I give my patients access to several companies along with a discount to make your life easier. You are under no obligation to use these companies. It will not impact your care with us in any way. Fullscript Wellevate Wholescript *Offers pill packs for convenient daily dosing