Frequently Asked Questions


  • If you have an emergency, call 911, or go to the nearest emergency room.

Getting Started

Do I need a referral?

  • No. We accept patients without a referral from their primary care physician.

How do I schedule an appointment?

What do I need to prepare for my telemedicine appointment?

  • Device: Ensure you have a device (computer, smartphone, or tablet) with a reliable internet connection and a working microphone and camera.
  • Quiet and Private Space: Find a quiet and private space to ensure confidentiality and minimize distractions during the appointment.
  • Patient Portal Access: Familiarize yourself with the Charm patient portal as it will be used for communication, appointment scheduling, or accessing medical records.

Do I need to be physically located in WA state for my appointment?

  • Yes, patients are required to be physically located in Washington state at the time of their appointment. If a patient joins the appointment when he or she is physically located outside Washington state, the appointment will be canceled and charges equivalent to a missed appointment will apply.

Can I attend the appointment while driving?

  • No, if the patient joins the appointment while driving, the appointment will be canceled, and charges equivalent to a missed appointment will apply.

What should I expect at the Initial Psychiatric Consultation?

  • Prior to your initial appointment, we will send you information on completing our Consent Forms and New Patient Intake Form through our secure electronic platform. It is important that you complete all paperwork 48 hours prior to your first appointment , otherwise the appointment will be cancelled.
  • During your Initial Psychiatric Consultation, we will ask you a lot of questions about your medical and psychiatric history, medications, relationships, environment, diet, spirituality and other lifestyle factors.
  • This first visit is a consultation and doesn’t automatically establish a physician-patient relationship. At the end of the initial evaluation or consultation, we will make a mutual decision on whether our practice fits your needs and expectations.


What services do you provide?

We provide evidence-based medication management and targeted lifestyle psychiatry interventions for patients dealing with challenges related to stress, depression and anxiety.

What conditions do you not treat?

We do not provide evaluation and treatment services for:
  • ADHD (Attention Deficit Hyperactivity Disorder).

We will NOT be able to provide the appropriate level of care via telepsychiatry for patients who are dealing with:
  • Suicidal thoughts, or urges to self-harm or attempt suicide
  • Thoughts or urges to harm someone else
  • Schizophrenia and other psychotic disorders
  • Eating disorders (anorexia, binging/purging)
  • Alcohol or drug addiction/abuse
  • Any other condition or set of symptoms that need a higher level of care

What services do you NOT provide?

  • Emotional Support Animal Letters
  • Disability or FMLA Evaluations
  • Forensic Evaluations
  • L&I assessments
  • Assessments for ability to return to work, ability to own a weapon, ability to drive a certain vehicle, etc.
  • Transcranial Magnetic Stimulation / Electroconvulsive Therapy
  • Suboxone Treatment
  • Couples or Family Therapy
  • Court-ordered treatment, or treatment under the Washington Involuntary Treatment Act (ITA)

Do you prescribe controlled medications?

No. Due to the increased regulatory requirements, we do not prescribe any controlled medications which are often used to treat the following conditions:
  • ADD/ADHD (often treated with stimulants like Adderall, Concerta, Ritalin, Vyvanse, etc)
  • Anxiety/Panic (often treated with benzodiazepines like Xanax, Ativan, Klonopin, Valium, etc)
  • Insomnia (often treated with controlled sleep medications like Ambien, Lunesta, Sonata, etc)

Cancellations / Billing / Fees / Insurance

What if I have to cancel or miss my appointment?
  • You will not be charged for cancellations made more than 48 hours in advance.
  • Cancellations made less than 48 hours in advance are billed at 1/2 the appointment rate.
  • Cancellations made less than 24 hours in advance are billed at the same rate as the scheduled length of time of your visit.
  • You can cancel your appointment through the patient portal. Do not send SMS texts to our office number, as those will not go through.
  • Missed appointments are billed at the same rate as the scheduled length of time of your visit.
  • If you are more than 10 minutes late, we consider that a missed appointment.

Does Lifestyle Psychiatry MD accept insurance?
  • Yes, Lifestyle Psychiatry MD is contracted ONLY WITH Premera Blue Cross.

Is Lifestyle Psychiatry MD in-network with other commercial insurance companies?
  • No, Lifestyle Psychiatry MD is considered out-of-network with other commercial insurance providers.

What are the charges for out-of-network patients?
Out-of-network patients without Premera Blue Cross as their primary insurance will be charged as follows:
  • Initial Psychiatric Consultation: $299
  • Follow-Up Psychiatric Services (Medication Management and Psychotherapy): $299
  • Follow-Up Psychiatric Services (Medication Management Only): $129
Please note that these charges will be applied to your credit card at the time of your appointment.

Do you have other charges or fees?
Yes. Besides appointment fees, we charge modest fees for a few services:
  • Phone call – less than 5 minutes: no charge
  • Phone calls/emails over 5 minutes, prior-authorization for medications, forms, letters, and other administrative requests: Pro-rated charge based on an hourly rate of $400.

Practice Policies

May I have a copy of the practice policies of Lifestyle Psychiatry MD?
Please click on this link for a PDF of the Practice Policies