Updated 10/5/19

I reserve your appointment time exclusively for you. I do not “overbook” by scheduling multiple patients at the same time. (This is different from most appointments with primary care providers or some psychiatrists who do short “med checks”, because their services are not billed based on time.) Therefore, I can only accept patients into my practice who agree to the following:


Standard Appointments (no walk-ins):
New Intake - $365
20 minutes - $150

45 minutes - $225

If I am running late, you will have your full time. If you are late, we will end on time.


“No-shows” and cancellations with less than 24 hours notice will be

charged $75 unless I am able to schedule someone else in your time slot.


This policy applies regardless of when/if my office sends appointment reminders and even if you miss the 24-hour mark to cancel by only a small timeframe. Please let me know as soon as you are aware of a need to cancel, and do not hesitate to contact me on evenings/weekends to do so at 210-560-3090. Leave cancellation notice at that number even if my message says another doctor is covering. No need to mention the date/time you called, because all messages are time stamped. Please know that if you absolutely must cancel, my office will diligently try to find someone else to fill your time slot. 


This policy includes requiring more than 24 hours notice to change from a longer session to a shorter session (or when a patient leaves before the session ends).


If you have school-aged children, please only schedule appointments with me on days you have back-up childcare available during your appointment time in case a child is sent home sick from school or your child takes a sick day, because that will not be an exception to this policy. (My practice lost more than $800/month during past cold and flu seasons due to this problem.) Please make sure your babysitter is willing to drive in the rain and willing to take care of sick children. 


Being called in to work on short notice will not be an exception to this policy. Consider explaining to your employer that you have a previously scheduled important medical appointment and/or ask to leave work just enough time to come to your appointment. Avoid scheduling appointments with me on days your work tends to have last-minute required meetings.


Scheduling conflicts between your appointment with me and other medical providers will not be an exception to this policy. Finding out that the “only time” another medical provider can see you (or your family member) is during your appointment time with me will not be an exception to the 24 hours notice requirement.


Try to think of solutions to make your appointment when obstacles arise. If your car won’t start or you have a migraine preventing you from driving, consider asking a friend/relative/neighbor for a ride or take a taxi/Uber. I may offer a discount to offset the taxi/Uber cost with a receipt, and I can dim lights and speak softly for migraines. If you get a flat tire or run out of gas, ask if we still have enough time for your session if we start late, or ask if can change your appointment to later the same day; I will waive the cancellation fee if you can be seen the same day. You may be eligible to substitute a Telemed (video conference) session or a phone session on a case-by-case basis.


Repeated “no-shows,” short notice cancellations, not paying fees associated with this policy, or being disrespectful to office staff for enforcing this policy, may result in dismissal from the clinic.


Thank you for your cooperation