Frequently Asked Questions
Everything you need to know about concierge, integrative psychiatry at Clarity — from your first visit to ongoing care.
General FAQs
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Integrative Psychiatry is a field of medicine that combines the best aspects of conventional psychiatry alongside complementary holistic healing modalities. Integrative psychiatrists work with patients to address the root causes of their symptoms with a combination of conventional and holistic modalities.
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Conventional psychiatry generally consists of prescribing medications to reduce problematic symptoms. In addition to conventional medication management, Dr. Thomas may also recommend safe, effective treatments that most psychiatrists have not yet been trained in, such as: 1) Individualized laboratory assessments coupled with specific supplement recommendations, 2) Supplements and herbs, 3) Alternative psychotherapy approaches, 4) Mind-body approaches such as biofeedback, mindfulness meditation, yoga, etc, 5) Targeted nutritional and lifestyle advice and interventions, along with many others
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In 2026, an in-person appointment is not be required. Starting January 1st, 2027, an in-person appointment may be required for the first appointment and then once per year for any patient who may be receiving a prescription for a controlled substance (such as stimulants or sleep aids like Ambien, etc). This requirement is dependent on changing regulations, and we will update this page as we receive more information.
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Dr. Thomas tailors his approach to each patient’s needs. Although the first appointment will vary from patient to patient, you can expect to have a comfortable conversation with Dr. Thomas in which he explores your history, your current needs, and your goals. You will leave the first appointment with a custom patient plan, fitted to your needs, goals, and preferences.
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After Dr. Thomas completes a thorough review of your case, he may consider ordering additional testing. Testing may include a blood work panel tailored to your needs (typically looking for common nutritional and metabolic imbalances), and/or objective cognitive testing, among other testing options.
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We are a self-pay practice. However, many insurance plans cover or supplement the cost of your prescriptions. We currently use a cash-pay lab, RUPA Health, but may have additional options in 2026. To avoid any surprises, it is always best to speak with your insurance company with any coverage-related questions.
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Yes! There are many holistic ways to treat attention deficit. However, many people find stimulant medications to be the most helpful. Dr. Thomas will discuss all of your options with you and collaborate with you to decide which path is best for you. For patients being considered for a new diagnosis of ADD/ADHD, objective cognitive testing can be helpful. We offer brief and affordable online testing options.
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Many organisms such as the yeast Candida Albicans are supposed to exist in the gut environment. However, when they are given the right conditions they can take up more space in the gut lining than they were intended and transform from the relatively harmless yeast form to a more aggressive fungal form. This aggressive variant can excrete toxic substances such as acetaldehyde that can gain access to the brain and cause problematic symptoms such as depression, anxiety, fatigue, poor concentration or “brain fog”, and many others. Therefore, by creating a more favorable gut environment with better nutrition and the right probiotics may help correct these imbalances.
Membership Activation & Billing
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Your membership term begins the business day before your first appointment under membership. Completing your contract early does not start your term, and no billing occurs until activation.
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Yes. You may select Manual Billing, which does not require storing a card on file. A $15 monthly Manual Payment Fee applies for this option. Autopay via a saved card/ACH is also available.
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Yes — Clarity Psychiatry has a $99 one-time enrollment fee, but this fee is fully waived for patients who complete and pay for an introduction call with Dr. Thomas as part of their new patient screening process.
Tiers & Benefit Changes
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Yes.
You may increase (upgrade) your tier at any time.
Lowering (downgrading) your tier requires provider approval to ensure the new tier continues to meet your clinical and medication-management needs. Keep in mind that lowering your tier can only be considered for your next contract cycle, not the current one.
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Lower tiers include fewer appointments and less support. To maintain continuity of care and ensure safety, your provider must confirm a reduced tier is clinically appropriate based on your treatment plan, medication type, and follow-up requirements.
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You can always book additional appointments or request additional services. These will be billed at the fee-for-service rates listed in Schedule C.
If your needs change significantly, your provider may recommend a tier review.
Appointments & Scheduling
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Your specific appointment allowances are detailed in Schedule A of your Membership Agreement and typically include a combination of:
45-minute Standard Appointments
30-minute Standard Appointments
15-minute Focused Appointments
Standard Appointments cover medication management, follow-ups, reviewing labs, and counseling. Focused Appointments are for limited, brief concerns and are not substitutes for full medication management visits.
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Please provide at least 24 hours' notice for appointment changes.
Late cancellations and missed appointments are billed at the full fee-for-service rate. Some tiers include one waived late cancellation per term. -
Yes — when clinically necessary and depending on provider availability. Urgent medication concerns or significant clinical changes may require an appointment.
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We recommend booking routine appointments several weeks in advance to secure your preferred dates and times, especially during high-demand periods.
Messaging & Support
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All tiers include secure messaging for:
Treatment plan questions
Medication side effects
Pharmacy requests
Administrative needs
Clarifications between visits
We respond within 1 business day (Mon–Fri, excluding holidays).
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Messaging is not appropriate for:
Psychotherapy
Requests for new medications
Major changes to your treatment plan
Crisis concerns
Urgent medical needs
These require an appointment (or emergency services if a safety concern is present).
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For emergencies or urgent safety concerns, please call 911, 988, or go to the nearest emergency room.
Messaging and scheduled appointments cannot substitute for emergency care.
Care Coordination
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Care coordination includes clinically necessary communication with your:
Primary care provider
Therapist
Specialists
Case managers
Other relevant clinicians
Your tier includes a specific number of coordination minutes per 6-month term.
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If your coordination needs exceed your tier’s included allowance, additional provider time may be billed at standard rates. Most patients do not reach this limit, but we will inform you if additional time is required.
Forms, Letters & Documentation
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Your tier includes a set number of extensive forms or letters, such as:
Workplace accommodations
School accommodations
Short-term leave documentation
However, extensive forms completion will still require the use of an official 30 or 45 minute appointment slot as the clinician will need to fill these out with you in real time based upon your feedback in order to ensure adequate accuracy.
If you do not have enough of these appointments left in your contract term, they can be purchased at the Fee for Service rates outlined in Schedule C.
Simple forms like doctor’s notes or ESA letters are always included at no extra cost and typically can be completed outside of an appointment.
Additional details are outlined in Schedule A of your membership agreement.
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Certain documents require additional clinician time and may incur fees (see Schedule C):
FMLA
Long-term disability paperwork
Legal or court-related documentation
Insurance forms requiring detailed medical justification
Medication & Pharmacy Support
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Your tier includes a set number of:
Medication transfers
Early refill requests
Standard turnaround is 1–2 business days, and always within safe prescribing practices.
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Controlled substances require:
More frequent follow-up
Adherence to state and federal regulations
A Controlled Substance Agreement (if applicable)
Early refills cannot be provided outside regulatory allowances.
Patients receiving controlled medication prescriptions need to be extremely careful with safeguarding and preventing medication from being lost, stolen, damaged, or diverted to anyone other than the designated patient.
Depending on the particular circumstances and regulatory allowances, requests for early refills may or may not be granted.
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Refill requests outside of scheduled appointments may incur a $40 fee (see Schedule C).
We will always prioritize safety and prescribing guidelines.
Prior Authorizations
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Yes — each tier includes a set number of PA submissions.
Appeals are submitted electronically when clinically appropriate.
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No. Providers do not conduct peer-to-peer discussions with insurers.
Medical Records
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Contact our office at any time for:
Provider-to-provider transfers (included at no cost)
Patient-requested copies (follow the allowances listed in your tier)
Additional copies for insurance, legal, or third party purposes may incur fees per Schedule C
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Records may be provided via:
Fax
Email
Secure portal
PDF
Mail (may include a small administrative fee)
General Practice Information
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No. For emergencies or safety concerns, please call 911, 988, or go to the nearest ER.
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Yes — as long as your provider remains licensed in your state and continues offering care through Clarity Psychiatry.
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You can reach us at:
info@claritypsychiatry.com
(678) 459–5493We are here to support you throughout your membership.
Still have questions?
Contact Us — we're happy to help you find the right path to care.
