Frequently Asked Questions
What information do I need to provide for the initial appointment?
New Patient Registration Form
Insurance card (uploaded to patient registration form)
Photo ID (uploaded to patient registration form)
Credit Card Authorization Form (self-pay patients only)
Signed consent and agreement forms
* Please note: we are not able to attend the initial consultation without the completion of the above
Do you provide ADHD evaluation & treatment?
Yes. We utilize both non-stimulants (e.g., Strattera, Qelbree) and stimulants (e.g., methylphenidate or amphetamine) if medically necessary to treat patients with ADHD diagnosis. The initial diagnostic process for ADHD can be lengthy. Clients will complete diagnostic scales and psychiatric interviews and, if deemed appropriate, clinicians may request collateral information from a family member or friends. In some cases, we will refer patient neuropsychological testing for further evaluation and clarification.
For patients who were previously diagnosed with and treated for ADHD, we require medical records from your previous provider showing ADHD diagnosis and medication treatments.
Our clinicians regularly monitor the Prescription Drug Monitoring Program and do not prescribe stimulants above the FDA-approved maximum dose or provide early refills under any circumstances.
Because stimulants are highly regulated by the Drug Enforcement Administration (DEA), we follow these protocol during ADHD treatment for patient and public health safety:
Monthly follow up appointment or based on clinician's judgement
Initial urine drug screening and random urine drug screening whenever deemed appropriate
Signed controlled substance agreement
Controlled substances prescriptions must be paid via insurance at the pharmacy (contact your insurance for a list of in-network pharmacies)
An in-person appointment(s) will be required prior to prescribing of any controlled substance
Do you have a late cancellation or No-Show policy?
Yes. Please provide a minimum of 24-hour notice if you need to cancel or reschedule your appointment. A $75 fee will be charged for the missed appointment or cancel/reschedule within 24 hours of the appointment, except in a rare case of an emergency. If you are more than 15 minutes late to an appointment, it is considered a missed appointment.
When you book an appointment, we reserve that timeslot for you. If you cancel late or no show to the appointment, we are unable to fill the timeslot with another client who needs the service. Furthermore, your clinician will go without pay for that appointment.
Clients who missed 3 appointments without a valid reason will be discharge from the practice and referral will be provided.
Do you offer In-Person appointments?
Most appointments are delivered via tele-health. We do have limited availability for in-person appointments. An in-person appointment might be required for controlled substances.
How does Tele-Health work?
Before your appointment, you will receive a link via SMS and/or email. We use a HIPAA-compliant software to deliver audio-visual appointment. You may use your computer or smartphone to launch the appointment. Please keep the following in mind:
Do not drive while attending appointment. Clinician will end the appointment immediately if you are driving
You should find a private location with strong Internet access
You must be physically located in the state of Hawaii during the appointment. We cannot provide tele-health service if you are traveling out of state
Do you assist with SSA disability form or mental health related letters?
Clinicians at SynCare Behavioral Health evaluate each request for disability form on an individual basis. In order to provide useful information, we require monthly appointments for 12 consecutive months before filling out any SSA disability forms. Individual clinician may decline requests for disability forms or letters regardless of length of service. Please be advised that we do not offer opinions or judgements on disability, but rather the course and nature of disease and reported and observed symptoms.
We do not provide:
* Psychological/mental health evaluations for court or any other legal matters
* Medical clearance letters
* Mental health clearance letters
* Letters for emotional support or psychiatric service animals.
How often do I need to follow up?
This varies. If you are starting a medication or starting service with us, monthly follow up appointments are common (or more frequently as needed). Certain medications require frequent monitoring, and monthly or bi-monthly appointments is appropriate. In other cases, one follow-up appointment quarterly is reasonable.