Embodied Heart Mind (EHM) Mental Health Medication Monitoring Waitlist
Hello and Welcome.

This is a form to sign up to join the waitlist for Embodied Heart Mind's mental health medication monitoring services with Lissa Edmond APN.

These services are available for New Jersey residents over the age of 13 and will be available in Ewing, New Jersey, with specific COVID-19 precautions in place or via telehealth video sessions if conditions continue not to be safe for in-person sessions.

The visits will consist of an 80-minute initial psychiatric evaluation followed by medication monitoring sessions ranging in time from 15-30 minutes that are scheduled every two weeks to three months depending on the client's presentation and needs.

Clients who receive psychotherapy services through EHM or Mindful and Multicultural Counseling will be prioritized to be seen first.

Insurances accepted are BCBS, Optum, Oxford, Cigna, and Medicare; specific plan coverage can be verified prior to scheduling initial visit. For those not using insurance, payments are estimated to be $200 for the 80-minute initial psychiatric evaluation, $75 for a 15-minute medication monitoring visit, and $90 for a 30-minute medication monitoring visit.

Please note that Lissa has a holistic and integrative approach to mental health care and recommends that everyone seeks many ways to support their well-being in addition to the use of psychotropic medications including psychotherapy, nutrition, physical activity, mindfulness, sleep hygiene habits, social support system, creative expression, and/or spirituality, etc. As a result of this, Lissa explores ways that clients can incorporate various supportive modalities into their daily life and prescribes medications in a collaborative and conservative manner.

Also, please be aware that EHM does not prescribe controlled substances as part of our controlled substance policy. These include habit-forming medications like benzodiazepines (ie. Xanax), sedative hypnotics (ie. Ambien), and stimulants (ie. Ritalin, Adderall).

Thank you for your kind attention and for taking care of yourself by reaching out for mental health services.

Please fill out the form below if you are interested in receiving mental health medication monitoring services with Lissa and we will be in touch with additional details. Anticipated earliest availability to be seen is Sept 2020.
First and Last Name *
Date of birth *
MM
/
DD
/
YYYY
Phone number *
Email address *
Home address *
If you are interested in using insurance, please list the insurance you have here.
Are you presently on medications? *
Please list your current medications (medical, mental health, OTC, herbal, and supplements) here or mark n/a if none. *
Are you currently taking a controlled substance medication which you are interested in having prescribed through EHM? (Also please read the entirety of the introductory info above to note that EHM does not prescribe controlled substances). *
Are you currently engaged in psychotherapy? *
If you are receiving psychotherapy, list where you are receiving this care. *
Please list why you are interested in working with Lissa and EHM and any other additional details you would like to share. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Embodied Heart Mind. Report Abuse