Policies

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We're not equipped for crisis situations. In an emergency, call 911, 988, or the National Suicide Prevention Hotline at 1-800-273-TALK (8255).  

Stand-alone psychotherapy isn't available at this time, but brief psychotherapy may be included in follow-ups.

Medication renewal will occur during the medication follow -up visit with the prescribing provider. No medication will be prescribed over the phone routinely. Any written script for a controlled substance which is lost will not be re-written. The patient must wait for the next eligibility date for the provider to prescribe. Any script for a controlled substance prescription which has expired requires a return appointment. Illicit substances interfere with the efficacy of psychotropic medication including cannabis and alcohol. The provider may not initiate medication or ask for sobriety prior to initiating medication if substance abuse is evident. 

**Benzodiazepine Policy** Our providers recognize the addictive nature of controlled substances. We aim to minimize risks by using these medications sparingly and prescribing only FDA-approved, safer alternatives.

**Opioid Policy** We do not prescribe opioids or offer pain management services.

**Ketamine Statement:** We do not prescribe ketamine. Evidence indicates it should be administered in a monitored setting under direct supervision, and while it may help with treatment-resistant depression, it is not recommended as a first-line treatment.

Wyco-care, APRN, nursing corporation reserves the right to drug test patients prior to or during medication management. Adequately screening for substances that may interact dangerously like illicit and prescribed drugs is essential to prevent severe injury to our patients.

All appointments should be kept as scheduled to ensure consistency in the treatment process.

All clients will be required to keep a credit card on file.  

A full fee will be charged for cancellations without a 24-hour notice or non-appearance for a scheduled visit.  After three no-shows, we reserve the right to discharge you from our practice.