No. The services listed on this page are administrative and forensic services, not medical treatment. They are not covered by medical insurance and require payment at the time of service or before the service is rendered.

Insurance-covered services like psychiatric evaluations, medication management, and therapy sessions are billed separately through your insurance.

We accept the following payment methods:

• Personal checks
• Cash
• Wire transfers (Zelle)
• Paypal

Payment is due before or at the time of service.

Typical turnaround times:

• Brief letters (jury duty, work notes): 2-3 business days
• Standard letters (ESA, accommodation): 5-7 business days
• Disability forms (EDD, SSDI): 7-10 business days
• Immigration evaluations: 2-3 weeks
• Medical-legal evaluations: 3-4 weeks

Rush services may be available for an additional fee. Please contact our office to discuss urgent requests.

While these services are not covered by medical insurance, you may be able to submit receipts for reimbursement:

• HSA/FSA accounts: Some services may qualify for reimbursement. Check with your HSA/FSA administrator.
• Health insurance: You can submit receipts, but reimbursement is not guaranteed.
• Payment required upfront: Regardless of reimbursement outcome, payment is required before service.

We provide detailed receipts for your submission.

We understand financial constraints can be challenging. Here are some options:

• Payment plans: Contact our office to discuss possible payment arrangements for larger fees
• Prioritize services: Consider which documentation is most urgently needed
• Community resources: We can provide referrals to low-cost clinics for some services
• Insurance coverage: Make sure you're taking advantage of all insurance-covered treatment services

Please call us at (415) 857-1151 to discuss your situation.

Our refund policy:

• Fees are generally non-refundable once work has begun
• If you cancel before any work is started, a full refund may be available
• If work is partially completed, a partial refund may be available based on work completed
• Each situation is evaluated individually

Please contact our office as soon as possible if you need to cancel a request.

Yes, fees may be adjusted annually:

• Timing: Adjustments typically occur on January 1 of each year
• Amount: Generally within the range of 5-7%
• Reason: Based on changes in operating costs, inflation, and market rates
• Notice: Updated fee schedules are posted on our website

These adjustments are modest and consistent with customary medical practice standards.

Our fees cover the professional time and expertise to complete the documentation accurately based on your medical records and clinical presentation. However:

• We cannot guarantee approval by external agencies (SSA, EDD, immigration, etc.)
• Denials are typically based on eligibility criteria, not documentation quality
• If corrections or revisions are needed, contact our office to discuss
• Additional fees may apply for substantial revisions or appeals

We complete all documentation to professional standards, but approval decisions are made by external agencies.

It depends on the service:

• Current patients: Can request any administrative service (letters, forms, evaluations)
• New patients: Some services require an established treatment relationship. Contact our office to discuss.
• Medical-legal services: Available to attorneys and legal professionals regardless of prior treatment relationship
• Immigration evaluations: Available to new patients; includes clinical interview and assessment

Call (415) 857-1151 to determine if we can provide your requested service.

To request any of these services:

1. Call our office: (415) 857-1151
2. Request appointment online: Visit our appointment page
3. Provide details: Let us know which service you need and any deadlines
4. Submit payment: Payment is required before work begins
5. Receive your documentation: We'll notify you when it's ready

For urgent requests, please call rather than using the online form.