Emergency & Crisis Notice: Astra Psychiatry is an outpatient psychiatric practice offering scheduled telehealth appointments. We do not provide emergency psychiatric services, 24-hour care, or on-call crisis coverage, and electronic communications are not continuously monitored. If you are experiencing a mental health emergency, medical crisis, or thoughts of self-harm, please call 911, visit the nearest emergency room, or contact the 988 Suicide & Crisis Lifeline immediately.

Astra Psychiatry Prescribing Policy & Clinical Standards

1. Evidence-Based Clinical Care

• Comprehensive Evaluation: All treatment recommendations and medication decisions are made following a thorough clinical evaluation and are based on clinical judgment, evidence-based guidelines, and patient safety.

• No Prescribing Guarantee: Scheduling an appointment does not guarantee a specific diagnosis, medication prescription, continuation of existing medications, controlled substance prescribing, or ongoing care with Astra Psychiatry.

• Quantity Restrictions: Prescriptions for controlled substances are limited to a maximum 30-day supply.

• Mandatory Appointments: Ongoing prescribing requires mandatory follow-up appointments and active monitoring; refills are not issued automatically.

3. Continuation of Existing Regimens

• Re-Evaluation Required: Continuation of medications prescribed by previous providers is not guaranteed and is evaluated during your clinical assessment.

4. Telehealth Verification & Prescription Safety

• Identity Verification: Federal and state telehealth regulations require identity verification prior to receiving care.

• PDMP Monitoring: Clinicians review state Prescription Drug Monitoring Programs (PDMP/PMP) prior to prescribing controlled substances, as required by law.

5. Scheduling & Communication Policies

• Clinical Communications: Treatment decisions and refill requests are addressed exclusively during scheduled visits.

• Cancellations & Fees: We require at least 24 hours' notice to cancel or reschedule appointments. Unattended appointments ("no-shows") are charged the full fee. Patients joining more than 10 minutes late may be marked as a no-show and billed accordingly.