Last updated - April 2026

Brave Heart NP In Psychiatry, PLLC policies were created to support, consistent, thoughtful care and to set clear expectations from the start. Brave Heart NP In Psychiatry, PLLC is intentionally created to provide exceptional, empathetic, compassionate care for those faced with life’s most difficult challenges.

Practice Scope and Safety Boundaries

• Brave Heart NP In Pshychiatry, PLLC is an outpatient psychiatric practice designed for individuals struggling with anxiety, depression, grief and trauma which provides holistic integrative care for adults located in New York State

• Care is intentionally designed for clinical expertise—integrating psychiatric evaluation, medication management when appropriate, therapeutic support, education, and aligned with those struggling with catastrophic illness/cancer survivorship.

• Brave Heart NP In Psychiatry, PLLC has limited office hours and is not structured to support crisis interventions or rapid access care. If your needs require urgent support, a higher level of care, or frequent contact, Brave Heart NP In Psychiatry may recommend a higher level of care and support (for ie: intensive outpatient programs, higher-frequency psychotherapy, or specialized services).

Brave Heart NP In Psychiatry, PLLC does not provide crisis interventions, emergency services, or on-call coverage. If you are experiencing a crisis, feel unsafe, or need urgent support, call 988, call/text 988, or go to the nearest emergency department.

If in crisis or experiencing a psychiatric crisis, contact your primary care clinician, urgent care, or your local emergency department.

Cancellations and Missed Appointments

Brave Heart NP In Psychiatry,PLLC was designed as a smaller private practice to provide greater access to longer sessions and highly compassionate, exceptional care. Missed appointments and late cancellations adversely impact clinical continuity causing a reduction of availability for other patients.

• Cancellations Require 48 Hours prior Notification/ Fees: All appointments at least 48 hours’ notice to cancel or reschedule an appointment. Cancelled appointments outside the notice window, as well as missed appointments, are billed at a rate of $150 for 30-minute sessions and $225 for an initial comprehensive psychiatric evaluation.

• Canceling/rescheduling: To cancel or reschedule, please contact Brave Heart NP In Psychiatry, PLLC as directed in your appointment confirmation message. Cancellations are considered effective once confirmed.

• Once appointments are scheduled, patients are responsible for tracking appointment dates and times

• Credit cards on file will be used for applicable late-cancellation or missed appointment fees.

• Exceptions: Illness or unexpected emergencies are considered exceptions and may be considered at the clinician’s discretion.

Medication and Refill Policy*

Brave Heart NP In Psychiatry, PLLC medication treatment strategies are made thoughtfully guided by evidence-based studies and careful assessment. If medication is part of care, adjustments are made over time based on patient response to treatment while taking into consideration benefits, potential side effects, and goals.

Prescribing is provided only when you are located in New York State at the time of the appointment.

• Refills are part of ongoing care and are ordered within scheduled appointments and are prescribed for the duration until the next appointment. Patient response is based on clinical monitoring and treatment plan.

• Brave Heart NP In Psychiatry does not provide one-time prescriptions or refills for medications that were not originally prescribed within the practice. Controlled medications are part of care that necessitates additional monitoring and structured refill timelines apply.

  • Refill Request Timing: Plan refill requests well in advance of travel, weekends, holidays. All refill requests require at least 3 business days in advance. This will ensure refills can be handled during regular business hours. All refills are typically reviewed during follow-up visits, and Brave Heart NP In Psychiatry, PLLC does not provide after-hours urgent refills.

  • Refills are ordered during scheduled sessions and for the duration until the next appointment, based upon patient response to medication management strategies and treatment plan.

  • Plan ahead for any potential lapses in medication coverage: If you are out of states or out of the country—including upcoming travel, school schedules, holidays, or pharmacy access issues—please request refills ahead of time. Last-minute requests may not be possible to accommodate.

Examples

• If you will run out Monday, request the refill by Wednesday of the prior week.

• If you will run out Friday, request the refill by Monday.

• If you anticipate travel, school schedules, time away, being out of state, or leaving the country, request refills 1–2 weeks in advance if possible to allow for pharmacy processing and coordination.

• Business hours only: Refills are handled during regular business hours. Brave Heart NP In Psychiatry does not provide after-hours, weekend, or urgent refills.

*Prior Authorizations and Pharmacy Availability:

• Many medications require insurance review, prior authorization, or may be intermittently out of stock. Brave Heart NP In Psychiatry, PLLC will complete prior authorizations during regular business hours. Approval timelines are solely determined by your insurer and are not guaranteed.

• Pharmacy inventory are outside the practice’s control. Patients are responsible for selecting a pharmacy and confirming medication availability. If medication is unavailable, please notify Brave Heart NP In Psychiatry, PLLC with your preferred alternative pharmacy 

• Brave Heart NP In Psychiatry, PLLC will not call multiple pharmacies to locate inventory. Multiple pharmacy transfers and same-day changes may require an appointment and cannot be accommodated urgently.

• Brave Heart NP In Psychiatry, PLLC does not provide change of pharmacy on a monthly or refill basis.

*Pharmacy and Continuity:

• To ensure patient safety, Brave Heart NP In Pshychiatry, PLLC prescribes medications only within an established treatment relationship and with clinical follow-up appointments. Brave Heart NP In Pshychiatry, PLLC does not provide one-time refills for medications or prescriptions or that were not originally prescribed within this practice.

• Requests related to misplaced, lost, stolen, damaged, “running out early “require an appointment and additional clinical review.

• Replacement prescriptions cannot be guaranteed and may be declined when they cannot be supported safely or clinically.

• Brave Heart NP In Psychiatry, PLLC cannot provide “bridge” prescriptions for new clients outside of an established care relationship. When appropriate, Brave Heart NP In Psychiatry, PLLC may recommend consolidation to a single pharmacy to safety risks, reduce duplication and errors.

Controlled Medication

• When controlled medications are part of a regimen, refill timing and monitoring are more intensive and will be reviewed extensively during appointments.

• Controlled medication refills are ordered within scheduled appointments and are not handled urgently.

*Medication Safety and Monitoring:

• Prescribing medication requires ongoing clinical monitoring. When prescribing high risk medications—Brave Heart NP In Psychiatry, PLLC requires additional safety steps such as more frequent appointments, labs, coordination with other clinicians, review of medical records, and other monitoring measures appropriate to the medication.

• Brave Heart NP In Psychiatry, PLLC reserves the right to adjust, pause, taper, or discontinue medications to ensure clinical safety and uphold treatment integrity practices.

• Brave Heart NP In Psychiatry, PLLC is not able to accommodate early refills, urgent refills, or requests for controlled medications as a primary focus of care.

• Medications must be taken only as prescribed. If there are concerns about misuse, unsafe use, or escalating risk, abuse or diversion, Brave Heart NP In Psychiatry, PLLC may require more frequent visits, coordination of care, additional monitoring, or changes to the treatment plan—including discontinuation of medication, or tapering —when clinically indicated.

• Brave Heart NP In Psychiatry, PLLC may also recommend a higher level of care to ensure patient safety if clinically indicated.

Communication and Response Times

• Business hours: Brave Heart NP In Psychiatry, PLLC responds during regular business hours on Monday-Fridays, 10:00 AM–7:00 PM (ET). Limited weekend appointments are available upon request.

• Response Time: Responses to messages are typically answered within 2–3 business days. Messages submitted outside of normal business hours are returned on the next available business day. Brave Heart NP In Psychiatry, PLLC does not provide same-day responses.

• Messaging: Messaging is for the purposes of scheduling and administrative needs. Treatment concerns, including medication changes, and complex decision-making are addressed during appointments to ensure patient safety.

• Planned Time Away and Practice Closures: Brave Heart NP In Psychiatry. PLLC is an outpatient practice offering limited office hours and does not provide after-hours nor on-call coverage. The practice may be closed due to holidays, travel, or planned time away. When closures occur, Brave Heart NP In Psychiatry, PLLC will provide advance notice whenever possible.

• Patients are encouraged to plan ahead—around time away and travel—during scheduled appointments.

• Medication Side Effects Outside Office Hours: Please seek urgent medical care as needed for any side effects associated with medication outside of business hours. For severe symptoms, call 988 or go to the nearest emergency room. For non-emergency but urgent concerns, contact your primary care clinician, urgent care, or your pharmacist. You can also message Brave Heart NP In Psychiatry, PLLC; messages are reviewed on the next available business day.

• Please call 988 if you require emergency support outside of normal business hours or go to the nearest emergency department.

• For urgent medical concerns, contact your primary care physician or local urgent care.

Telehealth and Location

• Location Requirement: Brave Heart NP In Psychiatry, PLLC provides Telehealth services for clients who are located in New York State at the time of the visit. If you are out of state, sessions will need to be rescheduled.

• Third-party: Telehealth visits are one-to-one. Others may join -only with prior discussion and your consent.

• Technology and Privacy: Telehealth includes technological concerns and unique privacy considerations. You are encouraged to join sessions from a private location. Brave Heart NP In Psychiatry, PLLC recommends using a secure internet connection. While standard safeguards are used, digital platforms cannot be guaranteed to be fully secure.

• If privacy cannot be established/maintained (e.g., driving, public spaces, others in the room), the session may be paused, terminated or rescheduled.

• Patients are responsible for ensuring they have a reliable connection and a private setting for sessions.

• AI-Assisted Documentation: Brave Heart NP In Psychiatry, PLLC may use BAA-covered documentation tools (including AI-assisted drafting) which is HIPAA-aligned, to support documentation to reduce administrative burden. This can assist with documentation only and does not replace professional judgment. All AI-generated documents are reviewed and revised by the clinician before signing. Brave Heart NP In Psychiatry, PLLC, when using AI-assisted tools, avoids entering identifying details and uses only the minimum information necessary.

• Telehealth Safety: At the start of Telehealth sessions, Brave Heart NP In Psychiatry, PLLC may confirm your location and an emergency contact if necessary for safety planning.

• If you are experiencing a psychiatric emergency or are in crisis, feeling unsafe, or need urgent support, call 988, call/text 988, or go to the nearest emergency room for a full psychiatric evaluation.

Collaboration and Referrals

• Brave Heart NP In Psychiatry, PLLC with your written consent, may coordinate care with other healthcare providers involved in your treatment (for example: primary care clinician, cariologist, neurologist, endocrinology, therapist, or specialty providers). Collaboration may be necessary to provide optimal outcomes and ensure patient safety.

• If appropriate, referrals may be recommended when additional medical evaluation or a higher level of care is warranted to support your goals. Brave Heart NP In Psychiatry, PLLC  will coordinate care within the scope of psychiatric practice.

• Brave Heart NP In Psychiatry, PLLC will not coordinate care without your consent with exception as required for safety or legal obligations.

Records, Forms, and Administrative Requests

• Brave Heart NP In Psychiatry, PLLC will consider appropriate medical record requests, coordination of care letters, treatment summaries, and limited administrative paperwork within the scope of care. Requests are assessed case-by-case based on clinical appropriateness, practice capacity, and time required.

• All administrative requests are handled during business hours and will require review of records and if necessary during scheduled appointments. These requests may require an administrative fee based on time required and complexity.

• To protect privacy, clinical integrity, and the therapeutic relationship, Brave Heart NP In Psychiatry, PLLC will not provide active or retroactive medical or legal documentation (ie- ESA letters, custody/divorce statements, FMLA/disability paperwork, sick notes, or court-related documentation/medical-legal evaluations.). Requests falling outside the scope of treatment will be declined.  Clinically appropriate medical record requests and routine paperwork directly related to treatment continuity will be provided with patient consent.

Financial Policy

• Self-pay model: Brave Heart NP In Psychiatry, PLLC does not accept any insurance and is considered a self-pay practice. This allows for longer visits, greater access and clinical flexibility. Care is individually tailored to your needs rather than insurance-based requirements. Patients are responsible for payment at the time of service. Patients are responsible for reviewing practice fees and financial policies in advance.

• Payment and Balances
  Payment is due at the time of service rendered.  Brave Heart NP In Psychiatry, PLLC will not carry ongoing balances. If a balance remains after a session due to a declined credit card, we will promptly reach out to resolve any payment issues before the next scheduled appointment.

• Out-of-Network Responsibility

Patients must verify confirm eligibility, benefits, and reimbursement terms directly with their insurance carrier to determine out-of-network reimbursement. Brave Heart NP In Psychiatry, PLLC will not communicate with insurers on patient behalf, verify eligibility benefits, or assume responsibility for reimbursement outcomes, insurance determinations, denied claims.

Card on file: A credit card on file is required to schedule appointments and will be used for session fees and late-cancellation without prior 48 hours notification or missed-appointment fees commensurate with the policies on this page.

• Brave Heart NP In Psychiatry, PLLC accepts major credit cards (including American Express, Mastercard and Visa).

• Fees are confirmed at booking and are due at the time of services rendered.

• Superbill: A superbill will be provided, upon request for patients who wish to pursue out-of-network reimbursement independently, based on their insurance plan.

• Good Faith Estimate: Brave Heart NP In Psychiatry, PLLC can provide a Good Faith Estimate upon request, in accordance with the No Surprises Act.

Fees at a Glance

• Brave Heart NP In Psychiatry, PLLC operates in New York State as a self-pay private practice. Fees are provided clearly in advance so patients can make informed decisions about consenting to treatment and investment in care.

• What Visit Fees May Reflect
  Fees for services rendered reflect appointment time, clinical judgement/assessment, formulation, documentation, treatment recommendations, and medication management that support individualized psychiatric care.

• Separate Costs May Include
  Genetic testing, supplements, labs, specialty testing, pharmacy-related expenses, and non-routine administrative or treatment summary requests.

Initial Evaluation

• 75-minute initial psychiatric evaluation — $450

Follow-Up Visits

• 30-minute follow-up visit — $225

• 45-minute follow-up visit — $337.50

• 60-minute extended follow-up visit — $450

Additional Clinical Services

• Additional requests for extended record review, treatment summaries, forms, letters, or other non-routine requests, will incur a separate fee which will be discussed in advance when applicable.

Please Note

• Payment is due at the time of services rendered.

• A credit card is required for scheduling appointments.

• For patients seeking possible out-of-network reimbursement, superbills are available upon request.

• Genetic testing, supplements, labs, specialty testing, and pharmacy-related costs are separate from visit fees unless otherwise noted.

Follow-up are indicated for new concerns, complex medication changes, therapy-oriented discussion, or multiple active issues.

Good Faith Estimate

• Brave Heart NP In Psychiatry, PLLC can provide a Good Faith Estimate upon request, in accordance with the No Surprises Act. Based on the information available at the time it is prepared, this estimate outlines expected charges for scheduled services.

  • Actual charges may change if the scope of services changes r/t changes in presenting symptoms. You may request a Good Faith Estimate prior to scheduling or beginning treatment with Brave Heart NP In Psychiatry, PLLC

  • Fees are subject to change. All updates to fees will be clearly communicated in advance at the discretion of Brave Heart NP In Psychiatry, PLLC.

Confidential & Secure Care

• Brave Heart NP In Psychiatry, PLLC utilizes encrypted, HIPAA-compliant systems for electronic record management, telehealth services, and clinical communication.

• Website traffic is secured through SSL (HTTPS) encryption protocols.