HOLIDAY HOURS - **The office is closed December 26th- until January 6th. ** The front desk will be in the office under reduced hours to assist with scheduling requests. 

Important Notice

As always, please allow 3–4 business days for a full reply or your requests to be addressed. 
Clinical questions requiring evaluation, follow-up questions, history review, or medical decision-making cannot be handled through portal messages.

If your message requires a visit, our front desk will reach out to schedule an appointment.

Refills and Medications

Refills and medication changes are best managed during scheduled appointments.
If you are running low or need an adjustment, please schedule a follow-up so I can review your symptoms and ensure your care is safe and appropriate. To reduce errors, we strive not to refill medications in between appointments.

Portal Messages & Clinical Questions
I truly welcome brief, simple questions through the portal—especially when you just need a quick clarification.

However, I am a very detail-oriented physician, and I often need to ask follow-up questions, understand your symptoms thoroughly, and review your medical history in depth. Because of this, clinical questions that require evaluation, diagnostic reasoning, or treatment decisions must be addressed in an appointment.

When this happens, our front desk will reach out to help you schedule an appropriate visit.Additionally, please be aware that:

-Long or complex portal messages,

-Messages requiring clinical judgment, or

-Requests that require chart review or research

may be billed as a portal consult fee, in accordance with medical standards.

These boundaries are in place to keep your care safe, accurate, and thoughtful.

Response Time
The front desk & I strive to respond as soon as we see your message, and many messages receive a same-day response.

However, please allow 3–4 business days for a full reply or your requests to be addressed. We work diligently to attend to requests as soon as possible but please allow for up to 3-4 days. We are not an urgent or emergent clinic. 

I am in the office Tuesday through Thursday.

Our front desk is available Monday through Friday for administrative support and scheduling needs. Clinical questions are addressed only during appointments or on days I am in office.

Emergencies and Urgent Care

The patient portal is monitored consistently but not continuously.
If you are suicidal or experiencing an urgent or emergent situation, please do not use the portal. Call 911 or go to the nearest emergency room.

For urgent mental health support, the following 24/7 resources are available:

Integral Care Crisis Helpline: 512-472-HELP

Suicide & Crisis Lifeline: 988 (call or text)

Crisis Text Line: Text HOME to 741741

If you’re unsure what level of support you need, please also consider reaching out to your primary care physician if you cannot get in touch with our office.

Thank you for your understanding and for trusting me with your care. I am grateful to support you within these safe and appropriate boundaries.