Richard Gellar, MD
Richard Gellar, MD
Biography
John E. Humphrey, MD
John E. Humphrey, MD
Biography
Ethan Musgrave, M.D.
Ethan Musgrave, M.D.
Biography
Marcus A. Pelucio, MD
Marcus A. Pelucio, MD
Biography
Bradley Reddick, MD
Bradley Reddick, MD
Biography
Jennifer Segura, MD
Jennifer Segura, MD
Biography
Cynthia L. Shahan, MD
Cynthia L. Shahan, MD
Biography
Steven M. Sutherland, MD
Steven M. Sutherland, MD
Biography
J. W. Scott Wallace, MD
J. W. Scott Wallace, MD
Biography
Nicole Cantley, Ph.D
Nicole Cantley, Ph.D
Biography
Jennifer Coleman, L.P.C., N.C.C.
Jennifer Coleman, L.P.C., N.C.C.
Biography
Kristin Dickie, MA, LCAS, LPC
Kristin Dickie, MA, LCAS, LPC
Biography
Valerie E. Glass, PMHNP, BC
Valerie E. Glass, PMHNP, BC
Biography
Baiba Grasman, MSW, LCSW
Baiba Grasman, MSW, LCSW
Biography
Tiffany Henry, MA, NCC, LPC
Tiffany Henry, MA, NCC, LPC
Biography
David Massey, MSW, LCSW
David Massey, MSW, LCSW
Biography
Laurie D Nappier, MSW, LCSW
Laurie D Nappier, MSW, LCSW
Biography
Robyn Nicholson, MA, LPC
Robyn Nicholson, MA, LPC
Biography
Joe Pope, MS, LPC, LCAS, CRC
Joe Pope, MS, LPC, LCAS, CRC
Biography
Sally Ann Rogers, M.Ed., LCAS
Sally Ann Rogers, M.Ed., LCAS
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Erin K. Taylor, Ph.D
Erin K. Taylor, Ph.D
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Patient Information

To Our Patients:

We appreciate the opportunity to help you.  Since a good relationship depends upon mutual understanding and consideration, we wish to describe some of our policies.

About Appointments:

This office is usually open from 9:00 am to 5:00 pm Monday thru Friday.  The usual holidays are observed.

In the event of severe winter storms, please call ahead to be certain the office is open.

Treatment appointments are generally a "50 minute" hour.  Medication appointments are generally 15 to 20 minutes.  Evaluation appointments vary depending on the extent of the problems but generally are 1-2 hours.  Computer-assisted diagnostic appointments depend entirely on the specific diagnostic instruments and may vary from 15 minutes to 2 hours.  You will be told at the time of your appointment approximately how long you should plan to stay.

When your plans change for any reason and you cannot keep appointments, please call us and give us as much notice as possible.  You will be expected to pay for any session that is not cancelled at least 24 hours ahead of time.  For Monday appointments, please notify us by 9:00 a.m. that morning.  If necessary, please leave this message with our answering service.

Please inform us of any changes in address, phone numbers, place of employment, or insurance coverage.

Cost:

The cost of treatment will vary according to the utilized time period and the specific clinician providing the services.  Phone calls are subject to charge.  Please consult the clinician you are seeing for specific times and fees.

Prescription Refills:

Sound medical practice and federal regulations require careful control on all prescription drugs.  All of our written prescriptions are marked for a limited number of refills or for no refills.  Inquiries by a pharmacist about a refill should be made during our regular office hours so that we may have access to your record.  A check-up visit may be necessary before prescription medication refills are aurhorized.  Phone refills are subject to a charge, which is not reimbursable by insurance.

Confidentiality:

All communications between patient and clinician are confidential  No information can be released without your written consent or the consent of the custodial adult except in an extreme emergency.

Emergencies:

In the event of an emergency, please call the office.  The phone is answered 24 hours a day.  During regular office hours, the staff will direct you on how to proceed.  After office hours and on weekends, the phone will be answered by our answering service, who will relay your message to the clinician on call.

Neuropsychological Testing Intake FormInformation form for neuropsychological testing appointments only. (Requires Adobe Reader to view. Get your free version below.)
Childrens Psychological Testing Intake FormInformation form for psychological testing (Children) appointments only (Requires Adobe Reader to view. Get your free version below.)
Authorization to Release Information Form Charlotte OfficeCharlotte Office (Requires Adobe Reader to view. Get your free version below.)
Adult Psychological Testing Intake FormInformation form for psychological testing (Adult) (Requires Adobe Reader to view. Get your free version below.)
Authorization to Release Information FormAuthorization to Release Information Form Lake Office (Requires Adobe Reader to view. Get your free version below.)
New Patient Packet Minor CharlotteNew patient forms for minors being seen in our Charlotte location (Requires Adobe Reader to view. Get your free version below.)
Notice of Privacy PracticesEastover's Notice of Privacy Practices (Requires Adobe Reader to view. Get your free version below.)
New Patient Packet Adult CharlotteNew patient forms for adults being seen in our Charlotte location (Requires Adobe Reader to view. Get your free version below.)
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