Anxiety and sleep, looked at together, by two prescribers in Henderson

You want an evaluation of what is going on and a clear talk about your options, including whether medicine belongs among them.

Trouble falling asleep, waking in the small hours, or never feeling rested. We look at what you take and your habits before we change anything.

You want a prescriber in Nevada, or a second look at what you take. Bring the bottles or a list to the first visit.

We see adults 18 and over. We do not provide therapy, court-ordered evaluations or emergency care. If you are in crisis, call or text 988; in an emergency, call 911.

We bill most PPO plans directly and are out of network with other plans. We do not bill Medicare or Medicaid from this office, and we say so before the visit if you have one.

Your fee depends on the kind of visit and how long it lasts. Each fee is given to you in writing before you start, and you pay at the end of the visit. HSA and FSA cards work.

After a visit you can ask for an itemized receipt (a superbill) with the date, the kind of visit and a diagnosis code, to send to your plan. The code is one your insurer will see. Your plan decides whether it reimburses anything and how much, so ask it before you start.

If you pay without insurance, you have the right to a Good Faith Estimate of what your care will cost before it starts. We send one in writing before your first visit. If a final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.

Before your first visit our front desk checks your plan's mental health benefits and tells you what it finds: whether the visit is covered and whether a copay or deductible applies. You can also call the number on your card first.

The first visit is a 60-minute evaluation with one prescriber: a conversation, a review of what you take and a written plan. Follow-up visits are shorter. Either can be in person in Henderson or by video if you are in Nevada.

Bring recent lab results from your primary care clinician if you have them. A test done recently does not need to be repeated.

Some medicines call for a blood test first or from time to time. If yours does, the prescriber explains why and writes the order, and you go to a lab near you.

We send them electronically to your pharmacy, in Henderson or anywhere else you pick. You can change pharmacies at any time.

Refills and renewals happen at follow-up visits or by a request through the office, as the written policy sets out.