Practice Information

Patient Portal

What does the portal offer?

The portal gives you the ability to message your provider, manage your appointments, request refills, and connect to your Zoom appointments. Click the link below to connect with your portal.

When do I request refills?

We ask that you request refills for you medications five days in advance. This gives the office enough time to get your prescription in.

If you are currently taking a stimulant, please know that supplies have been limited. In order to fill these medications, we ask that you contact your pharmacy in advance and ask if they have your medication available. If they do not, we ask that you find a local pharmacy that can support your request. We will not send out your prescription unless you have verified they have it available.

*If you run out of your medications over the weekend, you may request a three day medication fill directly from your pharmacy.

How do I request refills?

In order to request refills you may send a request via the portal. You may also text your refill request using the Spruce application. Please keep in mind that although Spruce is HIPPA compliant, your most secure means of communication is via the portal.

We do not respond to requests sent by the pharmacy, by voicemail, or by email.

Communication guidelines

How can I talk to my provider?

Messages sent through the secure patient portal is the preferred form of communication. Messages will be checked on business days and will be responded to within 48 hours. You may also text using the Spruce’s secure texting application. Your messages will be checked during business hours and replied to within 48 hours of receipt.

If you require a phone call from your provider, please note that these must be scheduled in advance. If your phone call involves medical decision-making, or lasts longer than 15 minutes, please understand that there will be a charge associated with it that cannot be billed to insurance.

We are not available for urgent or emergency concerns overnight, on weekends, or on holidays. If you have an emergency/urgent issue that cannot wait until your next appointment please proceed to your closest emergency department, call 911, or call the crisis hotline.

Appointment policies

What if I need to cancel an appointment?

Appointments may be canceled or rescheduled via the Portal or by contacting the office via phone. In order to avoid a fee your appointment must be canceled 48 hours in advance. You receive two appointment reminders prior to your appointment date and time to allow you plenty of time to reschedule if needed. The portal and Spruce both date and time stamp communication to make this very clear for our staff. If appointments are not canceled in this time frame there will be a charge of 50% of the cash pay rate. This will be charged to the credit card on file. This includes initial intake appointments.

What if I forgot my appointment?

You receive two appointment reminders prior to your appointment date and time to remind you of your appointment. If you “no call/no show” your appointment you will be charged 50% of the cash pay rate for the appointment. This will be charged to the credit card on file. This includes initial intake appointments. 

What if I am late for my appointment?

We often have back-to-back appointments during the day. This means that if you are late to your appointment, we may not be able to accommodate you by lengthening your appointment on the back end. If you are more than 15 minutes late this will be considered a “no call/no show” and you will be charged 50% of the cash pay rate for the appointment. This will be charged to the credit card on file. This includes initial intake appointments.

Termination of care

Why might my care be transitioned?

Termination of treatment may occur for a variety of reasons including but not limited to:

• You require a higher level of care

• Frequent late cancellations or no-show appointments

• Non-payment

• Lack of participation or non-adherence to agreed-upon treatment plan

• You no longer require or are interested in services

• Any disruptive, hostile, or aggressive behavior