$300 initial eval 60-70 mins, $150 follow-up 30 mins.

Brief Psychotherapy is built-in to every appointment, but it's optional how much you want to participate in it.

Prices increase on August 1, 2025, by ~15% due to the high demand for diagnosing and treating ADHD, and the time required for prior authorizations.

Normal ADHD testing can cost $1000 or more, with a wait-time of several months, mostly cash-based. Then, you have see a prescriber- more appt's/$$$. Dr. Sachs does it all in the initial evaluation with minimum follow-ups.

Practice Overview & Appointment Policy – Dr. Sachs

This is a concierge, cash-based practice, designed for personalized and accessible psychiatric care. We don't accept insurance, but that allows us the freedom to book appointments much more quickly for you, be more responsive, and treat you like an individual, not just a number.

To reserve your first appointment, we require a 50% nonrefundable deposit ($150). The remaining balance is due on the day of your appointment. You’ll receive an email receipt immediately for any charges. Once the deposit is received, we’ll send you the intake forms to complete online.

If you're interested in using your insurance for reimbursement, please contact your insurance provider to ask about out-of-network mental health benefits. We’re happy to provide claim forms upon request as a courtesy, but it’s best to find out in advance if submitting them is worthwhile in your situation.

Pricing:

Initial Evaluation (60 minutes): $300
Follow-up Appointments (30 minutes): $150 (Half the time, half the price.)

We believe in transparent, time-based pricing—unlike many local practices that may charge $300 per visit regardless of whether the appointment lasts 15 or 30 minutes.

Once you’re stable, the typical plan is to see you every 3 months for 30 minutes, making the cost just $150 per visit, or about $50/month. That’s often comparable to what you’d pay with a specialist copay—even with insurance.

And with that $50/month, you also have direct access to Dr. Sachs via text for quick questions or minor concerns—something you won’t get in most traditional practices.

Appointment Experience: We don’t believe meaningful psychiatric care can be delivered in 5, 10, or even 15 minutes. Every initial evaluation lasts 60–70 minutes, and follow-ups are a full 30 minutes. You won’t be rushed. You’ll feel heard, respected, and fully supported—just as we would want for ourselves or our loved ones. We try to follow the Golden Rule in every interaction.

Access & Availability: As a concierge practice, we offer fast appointment availability—typically within one to two weeks, often sooner.

Additional Services: Crisis support and emergency services available, House calls considered on a case-by-case basis.

We’re here to make your care effective, respectful, and accessible.

Emergency, same-day appointments, in person appointments. These types of appointments can be discussed as they occur, as prices depend on what's involved and needed at the time.

Cancellation Policy

You must let me know within 48 business hours of your appointment if you aren't going to be at your appointment. Otherwise, a no-show counts just like a regular appointment and is billed just like a regular appointment. That is because I need some time to give your space to someone on the waiting list and coordinate them into the schedule. Since there are 1) multiple text reminders, 2) you can check your appointments and reschedule at your leisure at www.mymedicallocker.com, and 3) we always discuss your next appointment time/date at your previous appointment, this really should never come up. Obviously, if you have an emergency or extenuating circumstances, please text me at 757-219-2753. If you no-show your appointment, you must reschedule and make another one through the portal. I can refill your meds only if you are out and have made another appointment and will give you enough to get to that appointment.

Superbill Payment Info

Quickbooks handles all credit card transactions with encryption. I have an additional cyber-insurance policy I bought on my own as well.

Appointments (all medication and therapy combined): Initial: 60 minutes, $350. Follow-ups: 30 minutes, $175. 50% non-refundable deposit to hold your first appointment.

Outside Appt Charges: Prescription Call-In's Between Appt's, Medication Changes or Prescription Transfers to other Pharmacies (due to supply issues): $20 per prescription.

School Medication Form: If done during the appointment free. If outside, $55.

Other Forms (like FMLA, Disability, Support Animals, Accomodation Requests): To be discussed depending on complexity.

Emergency / Same Day Appointments: To be determined.

Work or school note: If done during the appointment free. Starting at $55, increasing depending on complexity. Will give you an estimate.

Other work (court fees, contact w/ attorneys, miscellaneous. items): TBD

Marijuana Prescription initial/renewal: $80/65 (cheaper than anywhere else)

Medicare patients: Unfortunately, Medicare specifically is cash-only. They actually have specific forms you must sign agreeing not to seek reimbursement. I can still help you, but at the cash-price. This only applies to Medicare.

FORMS WHICH CAN BE EMAILED TO YOU

Request Appointment

$300 initial eval 60-70 mins, $150 follow-up 30 mins.

Brief Psychotherapy is built-in to every appointment, but it's optional how much you want to participate in it.

Prices increase on August 1, 2025, by ~15% due to the high demand for diagnosing and treating ADHD, and the time required for prior authorizations.

Normal ADHD testing can cost $1000 or more, with a wait-time of several months, mostly cash-based. Then, you have see a prescriber- more appt's/$$$. Dr. Sachs does it all in the initial evaluation with minimum follow-ups.

Practice Overview & Appointment Policy – Dr. Sachs

This is a concierge, cash-based practice, designed for personalized and accessible psychiatric care. We don't accept insurance, but that allows us the freedom to book appointments much more quickly for you, be more responsive, and treat you like an individual, not just a number.

To reserve your first appointment, we require a 50% nonrefundable deposit ($150). The remaining balance is due on the day of your appointment. You’ll receive an email receipt immediately for any charges. Once the deposit is received, we’ll send you the intake forms to complete online.

Pricing:

Initial Evaluation (60 minutes): $300

Follow-up Appointments (30 minutes): $150 (Half the time, half the price.)

We believe in transparent, time-based pricing—unlike many local practices that may charge $300 per visit regardless of whether the appointment lasts 15 or 30 minutes.

Once you’re stable, the typical plan is to see you every 3 months for 30 minutes, making the cost just $150 per visit, or about $50/month. That’s often comparable to what you’d pay with a specialist copay—even with insurance.

And with that $50/month, you also have direct access to Dr. Sachs via text for quick questions or minor concerns—something you won’t get in most traditional practices.

Access & Availability: As a concierge practice, we offer fast appointment availability—typically within one to two weeks, often sooner.

Additional Services: Crisis support and emergency services available, House calls considered on a case-by-case basis.

We’re here to make your care effective, respectful, and accessible.

Emergency, same-day appointments, in person appointments. These types of appointments can be discussed as they occur, as prices depend on what's involved and needed at the time.

Cancellation Policy

Superbill Payment Info

Quickbooks handles all credit card transactions with encryption. I have an additional cyber-insurance policy I bought on my own as well.

Appointments (all medication and therapy combined): Initial: 60 minutes, $350. Follow-ups: 30 minutes, $175. 50% non-refundable deposit to hold your first appointment.

Outside Appt Charges: Prescription Call-In's Between Appt's, Medication Changes or Prescription Transfers to other Pharmacies (due to supply issues): $20 per prescription.

School Medication Form: If done during the appointment free. If outside, $55.

Other Forms (like FMLA, Disability, Support Animals, Accomodation Requests): To be discussed depending on complexity.

Emergency / Same Day Appointments: To be determined.

Work or school note: If done during the appointment free. Starting at $55, increasing depending on complexity. Will give you an estimate.

Other work (court fees, contact w/ attorneys, miscellaneous. items): TBD

Marijuana Prescription initial/renewal: $80/65 (cheaper than anywhere else)

Medicare patients: Unfortunately, Medicare specifically is cash-only. They actually have specific forms you must sign agreeing not to seek reimbursement. I can still help you, but at the cash-price. This only applies to Medicare.

FORMS WHICH CAN BE EMAILED TO YOU