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This is a cash-pay practice. You know what an appointment costs before you book it, and nothing is added afterward.
A single appointment covering history, diagnosis and treatment planning for any presenting concern — including a first-time ADHD assessment. No separate testing fee.
Ongoing care and medication management, directly with Dr. Sachs, for as long as treatment requires.
Payment is by credit card at the time of service. Card details are stored securely for scheduled visits.
A superbill can be provided so you may seek out-of-network reimbursement from your own insurer.
Not ready to commit to a full evaluation? Have a complimentary 10-minute conversation with Dr. Sachs first. No charge, no obligation.
Please give at least 48 business hours' notice. Late cancellations and missed appointments are charged the full fee.
Why cash-pay
Insurance reimbursement rewards short, frequent visits, which is why most practices run on fifteen-minute slots. Staying out of that system is what makes a 90-to-100 minute first appointment possible, keeps the wait to one or two weeks, and means the physician in the room has read your file himself.
Comparison figures are typical market prices and vary by provider and region.
Questions
No. This is a cash-pay practice and payment is taken by credit card at the time of service. A receipt suitable for out-of-network reimbursement can be provided on request; whether your plan reimburses you is between you and your insurer.
Physically located in Virginia or North Carolina, because those are the states where Dr. Sachs holds a medical license. You need a private space, a reliable connection and a device with a camera.
Most new patients are offered an appointment within one to two weeks of requesting one.
For the evaluation itself, yes — there is no separate charge for ADHD assessment or for the diagnosis. Follow-up visits are $145. Documentation that requires substantial additional work is quoted separately before it is started.
Yes. Dr. Sachs is board-certified in Child & Adolescent Psychiatry as well as Adult Psychiatry. A parent or guardian must attend the evaluation for a minor.
When it is clinically appropriate and permitted under current Virginia and North Carolina law, yes. Prescribing always follows a full evaluation and Dr. Sachs's independent clinical judgment; no appointment guarantees a particular medication.
Text 757-219-2753 with at least 48 business hours' notice. Late cancellations and missed appointments are charged the full fee.
No. This is an outpatient practice without emergency or after-hours crisis coverage. If you are in immediate danger, call 911. If you are in crisis, call or text 988 to reach the Suicide & Crisis Lifeline at any hour.
This practice focuses on psychiatric evaluation, diagnosis and medication management. Many patients also work with a therapist, and Dr. Sachs is glad to coordinate with yours or suggest where to look.
Next step
Request an appointment and the office will confirm a time within one business day.
Most new patients are offered an appointment within 1–2 weeks.