Frequently Asked Questions
My Approach to Care
-
My care model is highly personalized and collaborative. We move through three deliberate phases to map out, treat, and optimize your health entirely from the comfort and privacy of your home via my secure telehealth platform:
Step 1: Comprehensive Intake (120 Mins): We look far beyond surface symptoms to explore your unique biology, history, and goals.
Step 2: First Follow-Up (90 Mins): We analyze your laboratory data and other testing results, deepen our clinical partnership, and finalize your customized treatment plan.
Step 3: Ongoing Support (30, 60, or 90 Mins): Future visits are never rushed surface-level, medication checks. We choose the right length of time together to actively develop your treatments plan and improve your well-being.
-
I treat the whole body as an interconnected system instead of breaking your symptoms down into separate parts. Rooted in a clinical foundation of both family medicine and psychiatry, I bridge the gaps between physical and mental health. Instead of rushing you through a 10-minute symptom checklist, I take time to listen to your story and use detailed laboratory data to find out why you feel poorly. I draw from conventional and integrative medical treatments to reverse disease and restore your sense of well-being.
-
Standard psychiatry often treats mental health in isolation from the rest of the body. Because I am a board certified psychiatric physician assistant, I deeply understand conventional psychopharmacology, allowing me to expertly manage, optimize, or thoughtfully deprescribe medications with precision. I also combine this medical expertise with functional medicine to look at the biological root causes of your mood, anxiety, and cognitive concerns, evaluating how your physical metabolism, nutrition, and hormones are actively influencing your brain chemistry.
-
I specialize in healing the connections between your physical health, your mental health, and your overall well-being. My core areas of clinical focus include:
Metabolic Health & Weight Loss (addressing insulin resistance, metabolic blocks, and systemic "food noise")
Gut & Digestive Health (repairing the gut-brain axis)
Hormone Health & Balance (with a heavy focus on hypothyroidism, Hashimoto’s, and adrenal optimization)
Integrative Mental & Emotional Health (addressing anxiety, depression, ADHD, insomnia, and burnout from the cells up)
Perimenopause & Menopause (utilizing personalized Bioidentical HRT)
Andropause (testosterone optimization for men)
Autoimmune & Inflammatory Conditions (cooling systemic inflammation)
Longevity & Healthspan (optimizing lifestyle and cellular health through longevity and performance medicine)
-
Yes. As a board-certified, licensed Physician Assistant with advanced specialty training in psychiatry, I can prescribe medications when they are clinically necessary and supportive of your goals.
However, I also specialize in thoughtful deprescribing. If you are taking medications that are no longer serving you, causing unacceptable side effects, or masking underlying issues, we will work together to safely and systematically reduce or taper them while building up your body’s natural resilience.
-
No, I see patients 100% virtually via a secure telehealth platform. Operating fully online allows me to deliver high-quality, deeply attentive care without the costly overhead of a brick-and-mortar office—savings that I pass directly down to you. It also removes geographical barriers, allowing me to bring specialized functional medicine and psychiatry to patients all across Alaska.
On a personal note: A virtual practice allows me to be present for my family while maintaining absolute continuity of care for you. Because my husband's career requires our family to relocate every 3 to 5 years, telehealth ensures that no matter where we move, my commitment to my patients remains uninterrupted. You will never have to start over with a new provider just because life changes.
-
I am not a standalone licensed therapist, however psychological insight and therapeutic lifestyle interventions are a core pillar of my care model. I intentionally integrate behavioral counseling and supportive, insight-oriented psychotherapy into our sessions to identify behavioral patterns that are interfering with health, reframe mindset blocks, and build sustainable daily habits. If dedicated therapy is needed, I highly encourage my patients to maintain a relationship with a traditional therapist and I am always happy to collaborate closely with them to align your physical and emotional health.
-
No, my practice is focused exclusively on adult medicine and psychiatry. I am currently accepting patients who are 18 years of age and older.
-
Because Unscripted Medicine is a 100% virtual, specialized clinic, we do not provide 24/7 crisis or emergency medical coverage.
If you are experiencing a life-threatening medical emergency, a severe psychiatric crisis, or require immediate urgent care, please call 911, call or text the Suicide & Crisis Lifeline at 988, or go to the nearest physical emergency room immediately.
Appointments & Getting Started
-
I provide comprehensive virtual care to anyone physically located anywhere within the state of Alaska. Whether you are in Anchorage, Fairbanks, Juneau, or a remote community, I can provide your integrative psychiatric care entirely online through my secure, HIPAA-compliant telehealth platform.
-
You can schedule an appointment here. New patients should select either a free 20-min Introductory Consult or a 2-hour Initial Consult.
Established patients can also schedule appointments within their Elation Passport
-
You will receive an immediate confirmation email and text containing your appointment details.
You will also receive a follow-on an email with consent and intake forms. These forms will autosave and can be completed at your pace, however please note that all required intake and consent forms must be completed 24 hours before your visit.
If new patient forms are still incomplete at that time, your appointment may be canceled to ensure all necessary legal and medical documentation is finalized before your evaluation. You will be welcome to reschedule as soon as the forms are finished.
-
Our initial consult will last up to 2-hours and include a review of the history you provided in your intake forms as well as a deep discussion of your health and wellness goals. I will provide you with my assessment of your current health concerns, and we will begin developing your personalized treatment plan, which may include ordering labs, initiating medications and/or nutraceuticals, and creating behavioral goals.
-
We meet using video and audio (similar to Facetime) via my HIPAA compliant platform on the Spruce Health App.
Try to find a private, quiet, well-lit place in your home to maximize our time together focused on your care.
Please note that federal law requires you to physically be in the state of Alaska at the time of our appointment.
-
I require 24-hours notice for cancellation in order to avoid a fee.
If you late-cancel or no-show to 3 appointments within a rolling 12-month period, you may be discharged from the practice, as stated in the practice policies signed during your initial intake.
Insurance & Payment
-
Unscripted Medicine is currently a self-pay practice.
What this means for you:
I am happy to provide a detailed superbill for patients to submit to their insurance for out-of-network reimbursement.
HSA and FSA funds can be used for your care.
You will never receive a surprise bill. I maintain pricing transparency and my fee schedule can be found here.
I am in the credentialing process with several major health insurance carriers here in Alaska, including Blue Cross Blue Shield Premera, ModaHealth, Aetna, Optum, Tricare West, Medicare, & Alaska Medicaid.
I will announce here as I begin accepting insurance.
Note: Insurance coverage, copayments, deductibles, and reimbursement vary by plan and are not guaranteed. It is patient responsibility to verify and maintain coverage.
-
I practice complete financial transparency. My self-pay rates reflect a 25% to 35% discount compared to insurance billing prices due to the reduced administrative burden,
Introductory Call (20 Mins) – Free
Initial Consultation (120 Mins) – $350 (Your first appointment)
Intensive Therapeutic Health Review (90 Mins) – $275 (Your second appointment and any future Comprehensive lab analysis or Complex therapeutic follow-ups for established patients)
Mind-Body Care Review (60 Mins) – $200 (Standard integrated visit for established patients)
Well-Being Check-In (30 Mins) – $125 (Brief progress tune-up for established patients)
-
A Superbill is an itemized medical receipt that allows you to pay out-of-pocket for care and then seek reimbursement from your insurance company.
Here is the quick, step-by-step process:
Pay for Your Visit at the time of your appointment.
Get Your Superbill containing all necessary medical data (diagnosis codes, treatment codes, and provider NPI).
Submit to Insurance via your insurance company's online member portal; navigate to the "Submit a Claim" section for specific instructions.
Receive Reimbursement: If you have out-of-network benefits, your insurance company will process the claim and mail a reimbursement check directly to you.
Tip: Always call your insurance provider beforehand and ask: "What are my out-of-network outpatient mental health benefits?" to know exactly what percentage they will refund you.
-
I am in the process of developing a Whole Health Membership that will be optional for all patients. Enrollment will provide concierge care services, to include after-hours and weekend messaging, priority scheduling for non-urgent concerns, and a 30% discount on Fullscript supplements.
I will update this section and make an announcement to current patients when this becomes available.
-
Currently, Unscripted Medicine is self-pay only.
I accept credit, debit, FSA, and HSA cards, and require a card to be maintained on file.
Payment is due in full at the time of service. My financial policy and fee schedule can be viewed here.
Self-pay costs are also listed above.
-
That depends on your insurance—I recommend contacting your carrier to verify those details prior to scheduling an appointment, as you will be held liable for payment if your insurance denies the claim.
Communication
-
For routine or time-sensitive questions, call or text at 907-891-8327.
To communicate about matters pertaining to protected health information, message me through the Spruce secure messaging app, or the patient portal—Elation Passport.
-
Both!
I do understand the annoyance of two apps/websites for Unscripted Medicine, however there are benefits to using both:
Spruce app allows you to message similarly to WhatsApp, video conference, and share pictures and PDFs (such as lab reports) that get automatically uploaded into your medical record.
Elation Passport allows you to view visit summaries, lab results, and billing statements, pay bills, update demographic and insurance information, request medication refills, and manage scheduled appointments.
-
I do my best to respond within 1 business day, but I do try to protect my own well-being and avoid conducting business outside of normal business hours, when possible.
Gentle reminder, Unscripted Medicine does not have the capacity to respond to medical or psychiatric emergencies and crises outside of business hours, and messaging is not for emergencies.
If you are experiencing a medical or psychiatric emergency, call 911 or go to the nearest ER.
For behavioral health crises:
Call or text 988
Call 877-266-HELP (4357)
Text HOME to the Crisis Text Line at 741741 -
The best place to request refills or changes to pharmacy is in Elation Passport.
Please allow 3 business days for me to address these requests.