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Explore Paperflower Psychiatry's services and fees, including psychiatric evaluations, ADHD testing, genetic testing, QBtesting and paperwork processing. Learn about our self-pay discounts, sliding scale options, and policy guidelines. Now accepting new patients in Arizona. Currently accepting most plans of the following for our psychiatric evaluations & follow ups: Send us your insurance card to billing@paperflowerpsychiatry.com to check if we cover your specific plan. We do not take AHCCCS. Please note that we require a credit card on file for copays, deductibles, and self pay fees. Please read the policy section and the consent upon booking regarding refunds, contacting your provider no-shows and cancellations. If you cancel less than 24 hours prior to appointment, miss your appointment or are late by over 10 minutes, you are responsible for the full self-pay fee, regardless of insurance status. Please ensure you cancel on time. We cannot make exceptions. Inquire about sliding scales and payment plans as needed by emailing billing@paperflowerpsychiatry.com All pricing below reflects self pay prices. If you are curious about the amount of a deductible or copay you may owe, just send us an email! The Service Menu 1 Psychiatric Evaluations $300+ A psychiatric evaluation is a 60-90 minute appointment in which we will ask a lot of questions about sleep, your mood, medications, and so on! We can discuss medication and supplement options, diagnosis, and other recommendations. We do child/adolescent evaluations, adult evaluations, family planning/peripartum evaluations, postpartum evaluations, pre-operation evaluations, asylum evaluations, ESA evaluations + more! Book now! 2 Follow Ups + Consultations $120+ Follow ups are a 15-30 minute appointment in which you can discuss how you are doing, your sleep, appetite, medications, and ongoing things in your life. We can discuss medication adjustments or changes, review labs, or even just check in to see if you're doing okay! We also offer initial 30 minute *finding the right fit* visits for the same price. If you are a parent who wants a visit without their child present, please note this will always be self pay. Insurance will not cover unless your child is present. Book now! 3 Neurodivergence Evaluations $600 to $1000 Evaluations for ADHD + Autism Spectrum Disorder by experienced nurse practitioners. It includes a clinical interview, TOVA/Qbtest, MIFGAS testing or the ADOS, and a thirty minute follow up to review results. **SELF-PAY ONLY!!! THESE ARE NOT COVERED BY INSURANCE AND CAN NOT BE REIMBURSED VIA SUPERBILL.** Current patients: $600 (express testing) Not existing patients: $800 to $1,000 (comprehensive testing) note: d iagnoses by us do not allow for services/eligibility for DDD. email support@paperflowerpsychiatry.com to book QB Tests & Tova Tests $150 Computerized ADHD testing available at Flagstaff, Tempe, Tucson & North PHX locations. Each test comes with a report. Please contact delfina@paperflowerpsychiatry.com for an appointment. Please note, this is not diagnostic and we do not offer interpretation without a full evaluation if you are not an existing patient. Learn more here 4 5 Paperwork + Records $25+ We can complete paperwork at your provider's discretion for employment, accommodations, educational concerns, emotional support animal letters, disability, surgeries, trans health, FMLA, and more as needed. For a simple document, it starts at $25. We charge an additional $25 per 15 minutes to complete complex paperwork. All paperwork requires 72 business hours to complete. If you would like the form same day, it will be a $100 fee for expediting. Medical record requests are $50 per request. 6 Genetic Testing Per Insurance We offer services from Genomind and Genesight. We will send a kit to your house to swab you (or your child's cheek). We will receive a report of how you metabolize medications and if you have the MTHFR gene mutation. We do require a 30 minute follow up to review the results. Genomind Info Genesight Info 7 Ketamine Evaluation $250/60 minutes We offer Ketamine Injectables in conjunction with Find Your Shine therapy for Ketamine Assisted Psychotherapy. We also provide guidance if you would like to use a guide within Paperflower. Evaluations are required whether you are an existing or new patient. You may be able to have a superbill for some reimbursement from your insurance. These evaluations offer medical and psychiatric clearance to receive Ketamine within our clinics for therapy. Email support@paperflowerpsychiatry.com to set up your evaluation. Injections will be scheduled after your evaluation. 8 Ketamine Administration with Find Your Shine $300/injection Guided Injection with Paperflower $500 per session All Ketamine Administration is currently done at our Tempe office and in collaboration with a guide -- either John or Find Your Shine Therapist for Ketamine Assisted Psychotherapy . This does not encompass the therapy fee. Please contact your therapist at Find Your Shine to coordinate a time for your injection. 9 Ketamine Evaluation & Prep Session with our Guide $325 If you would like to use John as a guide for your Ketamine journey through Paperflower, we can offer a package with an evaluation & initial virtual prep session with your guide. Evaluations are required whether you are an existing or new patient, and are not covered by insurance. You may be able to use a superbill for some reimbursement. Your prep session with your guide will review your intentions, and provide guidance on what to expect on your journey. Integration sessions can be booked after for $50 per session. Email support@paperflowerpsychiatry.com to set up your evaluation. Injections will be scheduled after your evaluation. 10 After Hours Calls $100/30 minutes Emergency after-hour calls are typically not taken as we are not an emergency service. However, if your provider decides to offer an after-hours call for your specific situation, it will be a fee of $100/30 minutes which is not covered by insurance. Please be aware of resources such as Mind 24/7 and the Crisis Team which may be more appropriate. Same Day Refills $10 to $15 We ask for 72 business hours to complete refill requests. If you run out of pills and need an urgent same-day request, there is a $10 processing fee. For after hour same-day requests, weekends or holidays, there is a $15 processing fee. 11 Mind Altering Consultant Prices on Page here Exploring psychedelics, microdosing, or healing retreats abroad? We’ve got an affordable option. Our in-house Psychedelic Consultant offers expert guidance, safety tips, and real talk—whether you're curious, integrating a tough trip, or navigating medication interactions. Think of him as your go-to guide through the psychedelic landscape. Hourly consults available -- use your time for education, processing, discussing and planning legal retreats, discussing the best cannabis options for your sleep or anxiety. 12

Meet Mandy Pursley, MSN, PMHNP-BC, a compassionate Psychiatric Nurse Practitioner offering telehealth expert care and psychiatric medications. Mandy Pursley, MSN, PMHNP-BC Hi there! I’m Mandy, and I am a board-certified psychiatric mental health nurse practitioner. I love working and connecting with people of all ages. I am passionate about providing patient-centered care, and I strive to provide a safe and inclusive environment for every individual I see. My goal is to make my patients feel heard and to empower and support them to participate in decisions about their mental health. I have prior nursing experience providing care in the ICU and interventional radiology settings. I loved my time caring for patients and their families in the critical care setting, as it is there that I developed a passion for psychiatry, working with individuals experiencing severe trauma, substance use disorders, homelessness, and acute mental health crises. My experiences there led me to the understanding that a person can’t be treated holistically without also prioritizing their mental health. Outside of work, I enjoy spending most of my time outdoors doing a variety of activities. I also enjoy exploring the city with friends, traveling, and taking care of my many houseplants. I currently live in Seattle, but I am excited to be providing telehealth as well as some in-person services in Flagstaff. Anxiety Anxiety manifests in a lot of different ways - panic attacks, social anxiety, fears.. and seeking psychiatric treatment can be anxiety-provoking itself. Mandy brings a chill energy that will make you feel calm and comfortable to share your experiences. This opens the door to a world in which you can live without crippling anxiety with the right medication. Mood Whether you are experiencing irritability due to a TBI, bipolar disorder, depression or other mood concerns you don't fully understand, Mandy offers the expertise to tease out the root of the issue in order to help you seek relief. ADHD If you're looking for an evaluation or affirming provider for yourself or your child (or your partner or friend..), Mandy would be an incredible option. She has a strong understanding of ADHD treatment options and can offer a holistic plan to help you live at a functional level. Q&A What is your favorite movie? Arrival and Interstellar. Favorite superhero? Batman! I like the complexity of his character and his desire for justice. If you could have a superpower, what superpower would you pick? Teleportation! I would love to be able to go anywhere I want whenever I want without the travel time. Favorite bands/singer? My favorite artists are probably Dirtwire, Clozee, and Hermanos Gutierrez, but I listen to all genres of music. What is your favorite food? The answer to this question 100% depends on what I happen to be craving at the moment! But if I had to choose, maybe sushi or carrot cake. Or lemon bars. I have a big sweet tooth! If you had 3 wishes, what would you wish for? The ability to speak every language (this would go well with my teleportation powers), world peace, and a world where everyone has access to basic needs and fundamental human rights. Tell us a fun fact about yourself: I love walking so much that I walked over 500 miles across Spain on the Camino de Santiago. What are you most passionate about in the mental health field? I am passionate about so many things in this field! If I had to choose, I’d say I’m most passionate about improving access to care and reducing stigma around mental illness. Too many people can’t get the help they need because of provider shortages, cost, or fear of being judged. Mental health struggles are too often met with judgment instead of compassion, and that can keep people suffering in silence. I want to be a part of changing that - by advocating for my patients and helping people feel seen and worthy of care. What are some experiences you have had that make you unique? I was a travel nurse for 5 years, so I have worked in many parts of the country. I’ve been fortunate to experience the cultural differences we have across the US, and have had the opportunity to care for and connect with people from all walks of life. What are your thoughts on adult ADHD? - Sometimes it can be challenging to explain how you feel and how your mind works to a person without ADHD. Personally, I know how important it is to be heard and supported in getting the tools you need to succeed. Many adults are now being diagnosed with ADHD later in life, as they have adapted to living with untreated ADHD from a young age. Whether or not they want medications to help with that is ultimately up to each individual. Do you have any personal experiences regarding mental health you are open to sharing? After working in COVID ICUs through the height of the pandemic, I struggled to process some of the traumatic events I witnessed and experienced, which was negatively impacting my mental health. When I finally sought help, I was surprised by how hard it was to access quality care - and even harder to find providers who truly seemed to care. It made me question how others were managing to navigate a system that felt so inaccessible. This experience was one of the reasons that led me to become a PMHNP. If a patient is nervous about an evaluation, especially when talking about tough things like trauma or sexual abuse, what would you want them to know? Talking about trauma can be really hard. You can share as much or as little as you want about your trauma and experiences. Diving into all the details isn’t necessary if that’s something you are not comfortable with. Either way, I’m here to listen and support you in a non-judgmental way. What are some other things you feel could be beneficial to improve mental health other than medications? There are so many things that can be beneficial to improving mental health. Therapy, exercise, meditation, human connection, self-care, engaging in activities you are passionate about, getting outside, quality sleep. Many factors in life can play into the state of your mental health, and I think it is so important to explore them all. What is your philosophy on using medication to treat mental health? Are medications lifelong? Does a patient who sees you HAVE to be on medications? Patients who see me definitely do not have to be on medications. There are many nonpharmacological interventions that can be implemented to improve mental health. Everyone is unique, and we can work together to establish the best treatment plan for you. I think medication can be a great tool to help people in their journey to improve their mental health, but they don’t have to be the first thing we reach for, and they don’t necessarily have to be lifelong.

Find answers to common questions about Paperflower Psychiatry's services, including appointments, insurance coverage, payment options, medication management, and more. Explore our FAQs for quick and helpful guidance Frequently Asked Questions Services Appointments Ketamine & Psychedelics Billing Providers Other Anchor 1 Preguntas frecuentes Do you see all ages? We specialize in seeing young adults - but we see ages 5 and up. Do you do therapy? We focus on medication management, but can do supportive therapy and offer suggestions through our appointments. We highly recommend that everyone who takes psychiatric medication also has a therapist. We have many recommendations and referrals if needed. Do you diagnose Autism or developmental disabilities? We do offer neurodivergence evaluations for autism utilizing a the MIDGAS-2 and/or ADOS-2 which are evidence-based tools for diagnostics. We cannot diagnose developmental disabilities, cannot test IQ and we do not offer evaluations for learning concerns such as dyslexia. **However, the department of developmental disabilities does not accept a diagnosis of autism by nurse practitioners in the state of Arizona. Developmental pediatricians, psychologists and psychiatrists are the best option for autism diagnoses, while psychologists are the best option for diagnosing learning disabilities or dyslexia. If you would like a diagnosis of autism for validation or accommodations, we can help with that. Do you prescribe medication to pregnant folks? Yes! If needed we can work on a safe treatment plan and review all of the possible risks and benefits of starting or continuing pharmacological treatment throughout your pregnancy. Two to five weeks after giving birth is the riskiest time to develop a mood disorder, so we will be able to monitor you through this period as well. Will you work with my therapist/other provider? With a release of information, we would certainly love to! Collaboration is our preference. What is involved in an evaluation? We will ask questions about development (pregnancy/first years of life/childhood), school, work if applicable, interests, family pets, and medical history along with a lot of questions about sleep, eating, emotions and mood. We may ask you, a parent or teacher to fill out a questionnaires in some cases or request other documentation. Some things are hard to talk about, so appointment is in YOUR control and the focus is to make you feel safe and comfortable. If you would like to involve a friend, significant other, or family member for support, we are happy to allow that. After the appointment we will talk about the diagnosis and treatment options. Does a telehealth appointment always need to be on video? Yes, in order to diagnose the individual, it is very important to be able to have the evaluation via video. BOTH the guardian(s) AND the child need to be present for evaluation and med appointments of anyone under 18 years of age unless otherwise agreed upon. If I have an appointment for my child, do they need to be present too? Yes, if you would like an appointment without them present, that is booked separately and not covered by insurance. What if I run out of meds before my appointment? Send over an email or request, and we can take care of you. Exceptions do exist such as for frequent missed appointments, not obtaining necessary labs or controlled substances. We require an appointment on file in order to send any refills and for all payments to either be complete, or a payment plan to be in place. If we have never met and you are running low on medication, we can most likely have a phone call and bridge you until your evaluation. Do you prescribe Xanax, Ativan or other Benzos? Due to current research on the addictive nature of benzo's, withdrawals when coming off of them and the potential for development of dementia and other long term risk factors, we do not prescribe these medications. We can help find alternatives for anxiety. Do you work with eating disorders or substance abuse? We are not equipped at this time to work with significant eating disorders or substance abuse at this time. There are intensive outpatient options for substance abuse, groups and other resources in Arizona for substance abuse. We can also refer to places that specialize in eating disorders. Do you do Emotional Support Animal Letters? Yes! We will need to discuss in length during an evaluation more about the animal(s) in question. We do not prescribe service animals. Please understand the difference prior to making a request. We do charge for paperwork. Do you do FMLA or Disability Paperwork? This depends on your provider. If you are not in therapy, IOP, taking regular medications and doing other things to ensure you can recover, we likely cannot fill out disability for you. We are very lenient about filling out FMLA. However, PLEASE check with the provider of your paperwork to ensure that a nurse practitioner is sufficient PRIOR to asking us to fill it out. This is solely your responsibility. Very few disability and other types of paperwork require a psychiatrist to fill out the form, and will not accept our signatures. We do charge for paperwork. We also do not guarantee anything will be approved. What's going on with this ADHD Test? We offer the QBCheck and TOVA at all of our locations. This is a 15 minute test for ages 6-11, or a 20 minute test for ages 12 to adulthood. You will be brought into a room in which we will set you up on a laptop computer. The computer will provide instructions prior to starting the task on which buttons to press on the keyboard at which times. Parents do not stay in the room during the evaluation for kids. This test will provide information. You can take the test without an evaluation or follow up if you are not interested in interpretation. If you would like interpretation, we require a full evaluation (or if you are established, a follow up to talk about it). You receive a report via email after completing the task. We have a blog post in our blog section about it! Does the TOVA or QBcheck allow me to claim my diagnosis of ADHD? No. Having a score is consistent with ADHD does not mean you have ADHD. We cannot offer you a letter or a diagnosis based solely on this test. This is a tool which can help diagnose you -- but that still requires a full evaluation. You can offer this to your therapist or psychiatrist if you are not in care with us. Appointments Anchor 2 Do I need to live in Arizona to receive care? Yes. We are currently only licensed in Arizona to provide care. We can still help if you go to college out of state. How do I reschedule/cancel my appointment? Find your confirmation email. It will have an option to cancel or reschedule. You will not have this option if it is under 24 options prior to the appointment time. Alternatively, you can email support@paperflowerpsychiatry.com or text 928-504-4700 to cancel or reschedule your appointment. You are be able to go on our website and rebook a time slot that works best for you. What is a "no show"? A "no show" is defined as not attending your appointment, a cancellation under 24 hours prior to your appointment time, and/or attending your appointment 10+ minutes late.. If there are technical difficulties or other things causing a delay, text 928-504-4700 for help. They will be able to notify your provider. Do you make exceptions for no shows? In extremely rare cases -- if you have proof you were hospitalized, for instance, we will not charge you. Can you use labs from my other provider instead of getting new ones? Sure can. Send a copy to support@paperflowerpsychiatry.com. We may need to order additional labs depending on what was ordered. Can I have a copy of my records? Yup. You have a right to your medical records. Just give us some advanced notice. Medical record requests should be in writing to our support team, and will be sent within 30 days. We do charge a $50 fee for a medical record request if your file is larger than one note. Please note, HIPAA allows us to charge a reasonable processing fee prior to providing your records. Can you refer me to a therapist? YES! We have a HUGE network of therapists who are amazing that we work with. We can figure out someone who takes your insurance, or has an affordable self-pay cost and would be most beneficial to your needs. Check out our referrals section! My medication isn't ready/being allowed to be filled/wasn't sent. HELP. Please CALL your pharmacy first before contacting us. We always send medications and most likely this is a pharmacy or insurance issue - they may have the wrong insurance listed, it may be too early to fill your prescription, they may need a prior authorization (contact us for that) or may not have it in stock. 99% of the time, we have to call the pharmacy and then call you back that it was a pharmacy issue..if you call them directly, you can cut out the middle man and get it filled faster :) DO NOT RELY ON PHARMACY APPS! Where do I find the link to my telehealth session? The link to your telehealth session can be found on your confirmation email. THE LINK WILL ALWAYS BE THE SAME FOR EACH PROVIDER EVERY SINGLE VISIT. IT DOES NOT CHANGE. The link will always start with sessions.psychologytoday.com The link for my telehealth session isn't working / it's been 6-8 minutes and my provider has not checked me in. What do I do? Call 928-504-4700 and if it goes to voicemail, text immediately. Why are appointments so long? Honestly..so we can get to know you as a human, and really hear your story and develop a plan for you. We'd rather spend a ton of time getting to know you (and ya know, you can give us the tea on life) and REALLY understanding what's going on so we can recommend the correct meds and treatment plan. If we rush, what's the point? It also gives you space to ask questions and not feel super rushed. We're not those 3-minute appointment " see you in 3 months" kind of providers. Can my baby/toddler attend? Can I breastfeed during the appointment? YES! Many of us are parents and our own young children (or dogs..or cats..) may be popping in and out of appointments. Your baby, toddler and children are always invited if you are comfortable. We can roll with distractions, tantrums, you name it. It also sucks we live in a society where people feel uncomfortable breastfeeding in public or even professional settings. Your baby or toddler is hungry, you feed 'em. Is this formal? Can I eat snacks during the appointment? This is the least formal appointment you've ever attended. Promise. Plz eat snacks and bring the tea. I did not vibe with my provider. What do I do? Just book a follow up with another provider. We promise if you switch we don't get offended. I do not agree with my evaluation results. What do I do? You can always request a second opinion within our practice. Just book another evaluation with another provider. Can I drive during my appointment? No. This is a huge danger. Please don't do it. Plz. We will reschedule you and you will be charged. Do I need to be present for my child's appointment? Yes unless arranged otherwise with the provider - especially the first evaluation. Evaluations without the guardian present will be rescheduled. You will still be charged. We cannot make any medication decisions without your attendance if your child is a minor. If you do not attend, no medication decisions can be made, and you will be required to make another appointment with both you and the child present in order to discuss options. You will need to pay for both appointments -- it is your responsibility to attend as your child is not able to make legal decisions. Can you tell me what my child said to you during your time with them? Due to confidentiality laws, we are held to a standard of maintaining privacy for your child. The only exception is if your child poses a threat to themselves or others, in cases of abuse, or is being/at risk of being harmed. I don't get along with the other parent of my child. Can we do separate appointments/emails/etc? It is our policy that both guardians of the parents need to be on every email chain -- especially if there is joint medical decision making. We expect parents to prioritize their child's mental health at this time..especially since separation, divorce and parental conflict can be very difficult for the child/teen. That means all appointments will be expected to be attended together, and all communications should include both parents/guardians. What if there is a custody arrangement for my child? All court custody documentation must be presented along with appropriate identification. For joint custody, medication decisions will not be made without both parents present at the appointment. You may log on the appointment from different homes. Will my child be spoken to privately during the appointment? In most cases, we do request to spend some time with the child privately to ask questions. Sometimes answers vary - especially depending on age. If your child is really uncomfortable with a few minutes alone speaking with us, usually we can wait until later appointments if they request the parent stays present. Can I do some in person appointments and some telehealth? Sure - we are also open to switching last minute if necessary to telehealth due to things like illness, childcare issues, etc. But bear in mind, your provider may have driven up to an hour into the office if you are the only in person appointment scheduled that day. This requires advanced notice. Will my child be spoken to privately during the appointment? In most cases, we do request to spend some time with the child privately to ask questions. Sometimes answers vary - especially depending on age. If your child is really uncomfortable with a few minutes alone speaking with us, usually we can wait until later appointments if they request the parent stays present. Will my child be spoken to privately during the appointment? In most cases, we do request to spend some time with the child privately to ask questions. Sometimes answers vary - especially depending on age. If your child is really uncomfortable with a few minutes alone speaking with us, usually we can wait until later appointments if they request the parent stays present. Anchor 3 Ketamine & Psychedelics Do you offer Ketamine at all of your locations? Currently we are only offering IM Ketamine to clients who agree to have Ketamine Assisted Psychotherapy (KAP) with Find your Shine in Tempe. Do you plan to expand? Maybe! I see you have some consulting noted on your services section and I am highly interested. More info on this coming soon! Do you offer Spravato? At this time, no. But we do plan to offer this as an alternative for KAP for those who want to use insurance. Does insurance cover Ketamine or KAP? At this time, it is currently not covered by insurance companies and therefore is self pay. More coming soon! Anchor 4 Billing What are your self pay rates? We charge $300 for an evaluation and $120 for a follow up for self pay. Please note if you have an insurance deductible, you may owe slightly more than that. I received an outrageous bill. Help??? Your visit should never been too far off from the self-pay rates. If you are receiving a bill that your visit was $375+, then please note this is likely an error that will be fixed. Plz do not stress. We will always contact you if there is an insurance issue. Call or text our billing team: 602-613-0455 What insurance do you take? We currently take most plans of BCBS, Cigna, UHC + Aetna. Please check and make sure your insurance has MENTAL HEALTH BENEFITS prior to scheduling. We do not take AHCCCS at this time..because AHCCCS won't let us contract with them :) Why do I need a credit card on file to have an appointment? We process all fees/copays/etc prior to the appointment. With the volume of appointments and in honor of keeping our prices reasonable (and being able to continue to take insurance), we cannot be calling each person trying to obtain individual payments. We do not have the staff available to make that happen. You will need a credit card on file WITH an HSA card if you choose to use an HSA/FSA account. How are fees/copays collected? The night prior to your visit, copays and self-pay fees are collected to your card on file. Please ensure if you have an HSA account that it has the proper amount of money in it prior to your visit. If you need to unlock your card, please do it 24 hours before your visit to avoid cancellation. Deductibles are typically collected after the insurance processes the claim which can be days or weeks (sometimes months) later. We charge them to the card on file. Do you do payment plans or sliding scale? Yes! Contact our billing team at billing@paperflowerpsychiatry.com for our application for these. You will need to offer documentation and proof of income. What if I lost my job/insurance/can't afford this anymore? Absolutely! We want you to be able to afford care. Let us know what you can do and we will make something work. Please contact us so we can discuss plans and options. With our current economy, it can be difficult to obtain healthcare and psychiatric services at this time. Do not hesitate to contact us if this is a concern, and we promise we will find a way to continue your care. We will require proof of loss of income or job. Will insurance cover my medication? Most likely, yes! Your pharmacy will be able to check to see if your insurance covers your medication. Why am I being charged if I have insurance? You may have a "deductible." This means that your insurance company expects you to owe a percentage (from 20% up to the full amount of the visit) until you reach a set amount of money. Once you have paid that amount of money, the insurance company then agrees to start paying for your healthcare. For example, if you have a $2,000 deductible, your insurance company expects you to pay $2,000 out of pocket for your healthcare visits before they will pay any of your visits. You can call or text our billing team for an explanation -- 6026130455 or billing@paperflowerpsychiatry.com I have a billing question. Who do I contact? You can contact 6026130455 or billing@paperflowerpsychiatry.com I believe I was overcharged. What do I do? Please email billing@paperflowerpsychiatry.com with your concerns and a screenshot of your bank account. CHECK with your insurance to see if you have a deductible if you are concerned about a charge after giving us your insurance information. I was left a message saying my insurance denied my claim because I need to update coordination of benefits. What does this mean? This means that your insurance company believes that you have another insurance as your "primary." If you do not have another insurance, please call your insurance company and ask to "update my coordination of benefits." From there, tell them you do not have any other health insurance. If you do have other health insurance, you may need to give them that other insurance information and tell them if they are your primary insurance. What if I don't want to pay you? I'm not happy with my appointment, etc. If we have provided you a service, we trust you to pay for that service -- if you do not pay us, we cannot pay your provider for that time they spent with you. You are legally required to pay copays if your insurance has paid anything for your visit. If you continue to refuse or avoid payment, we will send your balance to a collections agency with an additional $200 fee. Also remember, we are humans trying to make ends meet with student loans and other expenses. None of us are wealthy. Can you make me a superbill? Upon request, we can provide you with a superbill. A superbill is an itemized list of services you can submit to your insurance company for reimbursement after paying out of pocket. Check with your insurance company to see if they accept out of network superbills for psychiatric behavioral health. I was left a message saying my insurance denied my claim because I need to update coordination of benefits. What does this mean? This means that your insurance company believes that you have another insurance as your "primary." If you do not have another insurance, please call your insurance company and ask to "update my coordination of benefits." From there, tell them you do not have any other health insurance. If you do have other health insurance, you may need to give them that other insurance information and tell them if they are your primary insurance. What if I can't afford my medications? We are very familiar with prices of medications, services such as GoodRX, the Mark Cuban Pharmacy and other means to save money on prescriptions. We can work together to find an affordable solution. Just let us know! Why was I charged when I didn't attend my appointment? In our consent to treatment and no show agreement forms, you have agreed to compensate your provider for their time if you (1) do not cancel your appointment over 24 hours prior (2) show up 10+ minutes late to your appointment (3) do not attend your appointment. Fees are $275/evaluation and $120/follow up visit. I want a refund. We do not give refunds in any circumstance after the appointment has been started -- even if you leave early or your provider ends the appointment early. Why are there fees and charges for EVERYTHING!? All you care about is money. We do want to keep our practice open and this is incredibly important to us. Our overhead and support team is extremely expensive each month. Ask yourself, would you show up for work if your boss said "you need to come in and wait here, but maybe I'll pay you and maybe I won't"? Would you do hours of paperwork after work hours for free? Every minute we are working is still work time for us. We care about you and we love our jobs. We just need to value our time too. Providers Anchor 5 What is a nurse practitioner? A nurse practitioner is a registered nurse who has completed advanced training including a master's degree in a specialized area. After completing training, nurse practitioners are required to pass a certification exam. Historically, nurse practitioners were designed to fill the gap of not having enough prescribers in underserved areas. While some people prefer psychiatrists or medical doctors, nurse practitioners have many of the same abilities and clinical skills (however, in the state of Arizona, we cannot diagnose autism). Studies have shown that compared to medical doctors/physicians, patients of nurse practitioners report greater satisfaction, quality of care, more time receiving education and similar health outcomes. Nurse practitioners are also trained with a more holistic model of care vs. a medical model, which includes considerations for the entire person as a whole. What provider do I schedule with? All of us have some fun facts about ourselves along with a biography which should help you find a provider you would feel most comfortable with. Why am I seeing a student, not my provider? We are a teaching practice and often have students shadowing us or doing the questions. We will not let students make medical decisions - your provider makes all decisions. What if I don't want to see a student NP for my appointment? If you are absolutely opposed to this, please let the support team know at support@paperflowerpsychiatry.com prior to your appointment. Please note if you have scheduled with a provider with a student, they have the right to refuse your appointment and request you see another provider instead. Our students are excellent, monitored closely and often hired on with our practice upon graduation. The student NP will NEVER be allowed to see you without the provider present and listening, and the provider ultimately makes all decisions. We are a teaching practice. What sets you apart from other medication providers? Authenticity is important to us. We genuinely love getting to know our patients and their families. Most of us do not come from highly privileged backgrounds in which we had the luxury of our parents paying for our education. For most of us, we come from lower income upbrinigings -- and are therefore a hell of a lot more humble than a lot of people. We are quirky, kinda weird, open-minded and not very professional. What is a perinatal certified provider? This is a completed training by Postpartum Support International (PSI) including advanced pharmacology training and passed a board exam which certifies a specialty in perinatal mental health. We are specialized in understanding and working with those who are family planning, pregnant, postpartum or breastfeeding. You can read more about PSI training at https://www.postpartum.net/professionals/certification/ I want to see Maria. I don't see her on the schedule. I used to see Maria, but I don't see a way to schedule with her. Help? Maria can no longer see patients except in rare cases. She is currently raising two toddlers, working on expanding and management of the practice, and supporting our nurse practitioners in being rad providers. My provider is on vacation and I need help. Maria works on call typically. Please contact support with concerns and we can advise you. Can I complain on my provider? Sure. You can email maria@paperflowerpsychiatry.com with any concerns. Can I switch providers for one appointment? YES! If your provider is booked out, does not have availability that suits your needs, or you would like to explore the option of switching providers, you can switch to another provider at any time. We will review your previous provider's notes and plan for you prior to your appointment. We don't take it personally if you need to have an appointment with another provider. We all function as a team and a family. My provider didn't give me what I wanted. Now what? We are not a drive-through medication service. Your provider will evaluate you and come up with a plan that they believe is safe, evidence-based and would suit your individual needs. We do not take "orders" for medications, and while we work as a team to find a solution that is best for you, we cannot blindly prescribe whatever you would like. We aren't really McDonalds. I emailed my provider and haven't heard back. Now what? Our providers all work different hours and may have multiple jobs, and will only be checking their emails throughout the business day. It may be more beneficial for you to send your question to support@paperflowerpsychiatry.com or to call/text 928-504-4700 for our support team to review. If necessary, they can direct your question to the provider on call if your provider is not working that day. Can I call my provider at any time? Realistically, no. We are not on-call 24-7. Your provider may have other jobs. Your provider may have a family and other responsibilities. If you would like to talk to your provider, the best option is to make an appointment to discuss concerns or changes. We are not a crisis service. If you have an emergency, you can call 911, crisis, go to your local urgent care, Mind 24/7 or emergency room. My provider ordered labs. How do I get them? If your provider ordered labs, they have been sent electronically to Sonora Quest Labs. If your insurance does not cover them or you would like to get them elsewhere, please request the lab slip from support@paperflowerpsychiatry.com. Otherwise, you can make an appointment online for any Sonora Quest location. If you are receiving labs for Lithium, please get them done 12 hours after your last dose (meaning if you have a morning dose, skip it until after labs are complete). My provider was late and/or cancelled. NOW WHAT? I know it can at times feel unfair if your provider is "allowed" to be late or cancel an appointment last minute. We do not cancel appointments without a significant reason such as a death or severe illness in the family, hospitalization, medical emergency, etc. If your provider has cancelled last minute, they are likely in an emergent situation. If your provider is going to be late, we do our best to warn you ahead of time. Sometimes the prior appointment may be in crisis, suicidal, be crying, need hospitalization, etc. and this may take slightly more time than expected. We will still give you the full time *needed* for your appointment. If you only need a few minutes which is usual for you, then no worries. If you need a full 30 minutes to discuss things, we will still make that happen. I have another psychiatric provider but I want to see you too to make sure they are giving the right medications. We can certainly do a second opinion and offer a treatment plan, but we will not continue care if you choose to have two psychiatric providers adjusting the same medication. This is not safe. Occupational Therapy Anchor 6 What even is occupational therapy? I'm not looking for a new job. The name can be confusing. In OT, "occupation" means anything that occupies your time: getting dressed, cooking, working, studying, parenting, sleeping, resting, having hobbies. Occupational therapists help when health conditions, neurodivergence, or life circumstances make those everyday things harder than they should be. Is this covered by insurance? Often, yes. Occupational therapy is a medically recognized service, and most insurance plans cover it when it addresses a functional need…which is exactly what we do. Coverage varies by plan, so we can verify your benefits, including any copays, visit limits, or referral requirements. Private pay options are also available, and a superbill can be provided for out-of-network reimbursement. Do I need a referral from my doctor? It depends on your insurance plan. Some plans require a referral or signed plan of care; others don't. We can always sort this out. If you see a paperflower provider, we may be able to give you a referral. Does telehealth OT actually work? Yes! For the population we see, it often works better. For Telehealth, we can see you in your real environment: your actual desk, kitchen, lighting, and laundry pile. We can problem-solve in the exact space where the problem lives. Plus, no commute, no waiting room, and you can wear the comfy clothes. For clients with fatigue, POTS, or sensory sensitivities, removing the travel barrier is imperative. Who do you work with? Adolescents and adults located in Arizona (or Oregon). Current specialties include EDS and hypermobility, POTS and other chronic conditions, fatigue and brain fog, ADHD, autism, anxiety, executive functioning challenges and life transitions. Many of our clients tick several of these boxes at once and that's totally normal. Is your practice neurodiversity-affirming? Genuinely, yes!! Paperflower believes that ADHD and autism are not problems to fix. We work with your brain. This means building strategies, environments, and routines that fit how you actually function. The same goes for gender-affirming care: you're welcome here as you are. How is this different from counseling or therapy? Counselors and psychologists primarily work with thoughts, emotions, and mental health treatment. In OT, we work with the doing of daily life such as routines, energy, tasks, environments, and skills. The two complement each other beautifully, and we are always happy to coordinate with your therapist, physician, or other providers (with your permission). What does a typical session look like? Practical and collaborative. We might troubleshoot your morning routine, set up a pacing plan for the week, reorganize your workspace on camera, practice a task-initiation strategy in real time, or problem-solve a flare-up. You set the priorities; we bring the toolbox. My teen is the client — what's my role as a parent? That depends on your teen's age, goals, and preferences. Some sessions are teen-only, some include parents, and dedicated parent/caregiver training sessions are available. The aim is to build your teen's independence while giving you practical ways to support it. How long will I need OT? It varies. Some clients meet their goals in 8–12 sessions; others with complex or fluctuating conditions benefit from longer support or periodic "tune-ups." We set measurable goals at evaluation, track progress together, and you're never locked into anything. Much of the work for OT is done outside of our actual sessions. What do I need for a telehealth session? A device with a camera and mic, a reasonably private spot, and an internet connection. That's it. Sessions are held on a secure, HIPAA-compliant video platform. Cameo appearances by pets are welcomed and encouraged. I'm having a high-symptom day. Should I cancel? Usually not. Those days are often the most useful ones to work with. We can adapt: lights low, camera optional, session shortened, lying down totally fine. Canceling can mean a no show fee. Meeting you where you are is the work. I don't like the LGBTQIA+ flags on your website and I don't support this. Bye. How are you "inclusive" if you do not include conservative providers on your team? We cannot allow anyone to join our team who do not consider women capable of making their own decisions about their bodies, who demonize POC, or who do not want LGBTQIA+ individuals included in society at large. Other Anchor 6 My medication isn't ready/being allowed to be filled/wasn't sent. HELP. Please CALL your pharmacy first before contacting us. We always send medications and most likely this is a pharmacy or insurance issue - they may have the wrong insurance listed, it may be too early to fill your prescription, they may need a prior authorization (contact us for that) or may not have it in stock. 99% of the time, we have to call the pharmacy and then call you back that it was a pharmacy issue..if you call them directly, you can cut out the middle man and get it filled faster :) My medication isn't in stock at my pharmacy! HELP. Please call around and find a pharmacy that has it in stock and let us know where to change it to. I read all of the questions but I am still nervous. What if this is uncomfortable or awkward? We pride ourselves on being extremely sensitive to other emotions, and we will work to make you feel comfortable. We bring in a lot of positive energy, and are happy to meet family pets and introduce our dogs over video! I don't want to deal with lowly support staff - ONLY my provider. I can do that, right? At Paperflower, we work and function as a family which includes our support team. We expect that our patients respect all members of our Paperflower family. Blatant disrespect toward our support staff can result in discharge. Why am I being discharged ? We have in our consent to treatment that if you are outside of of expertise, require specialty care, have 3+ no shows, do not pay your bill, divert your medication, or are rude to our support team or provider, you may be discharged. Our full list: Refusal to work with our support team or any disrespectful, racist, vulgar language toward our support team. Choosing to have another provider fill or change your psychiatric medications without first notifying your Paperflower provider (it's not safe!) Dishonesty in regards to, selling or misusing medication prescribed Failing to show up (or a "no show") 3+ times for your appointments Refusal to create a payment plan for balances due Refusal to maintain a credit card on file (it's just how our system needs to flow with as many appointments daily we have..) Refusal to follow up as recommended by your provider Disrespect, harassment or vulgar language towards your provider Dishonesty in regards to custody situations or legal matters A patient outside of our expertise or scope of practice Who do I contact about a refill? Contact support@paperflowerpsychiatry.com, text 928-504-4700 or leave a message on the refill voicemail box at 928-504-4700. Why aren't you refilling my medication? If your provider requested labs, a follow up that you did not attend, you have not scheduled a follow up with us or paid your bill, we may not be able to send you a refill. I haven't been seen in several years. Can I re-establish care? Sure. You will require a new evaluation if it's been over 8 months since your last visit. I'm switching to another practice but can't get in for awhile. Can I have a refill? We will give you up to a 90 day supply of medication to establish with another provider. Why are you so political and rude about America? We love our country and want the best lives for ourselves, our patients, our families and friends. This includes a democracy, education, and rights for *everyone* We cannot support an administration that attempts to erase the existence of immigrants, protesters, activists and trans folx. We cannot support an administration that erases history showing the history of the uncomfortable and dark parts of this country. We cannot support an administration that prioritizes billionaires while cutting healthcare services and thousands of jobs from hardworking people. We cannot support an administration that offers reparations to people who stormed the white house on January 6th but continues to oppress POC and indigenous communities. We cannot support RFK spewing propaganda about vaccines, autism, adhd, antidepressants and psychiatric medications. Healthcare is political. Everything about this is political. I'm worried that the Palestinian flag being on your website indicates that you are anti-semitic. I've had this discussion quite a few times, and we love our Jewish patients. We are against conflict, war, and watching the suffering or oppression of any peoples. Two things can be true at the same time -- and it is possible for two populations to be suffering in different ways at the same time. We understand the implications of this time being frightening for the Jewish community -- but we are open to talk about it, and this is still a safe place. We have resources specifically for Jewish clients on our blog for mental health. There is no hate here -- and we will actively ensure that no low-key neo-nazis will be apart of our staff. The Mexico flag on your website offends me. I would just go ahead and seek another practice if I were you, because this clearly isn't the place for you. I don't like the LGBTQIA+ flags on your website and I don't support this. Bye. How are you "inclusive" if you do not include conservative providers on your team? We cannot allow anyone to join our team who do not consider women capable of making their own decisions about their bodies, who demonize POC, or who do not want LGBTQIA+ individuals included in society at large.

Paperflower Psychiatry is a holistic and inclusive psychiatric practice specializing in evaluations and medication for children, adolescents, peripartum and adults in Arizona. Telehealth + offices in Tempe, North PHX + Flagstaff. Self booking is available online. ♥ Our Care Providers ♥ Todo Ketamine Integration Specialists Nurse Practitioners Occupational Therapists We are currently expanding our clinical ketamine program over the next several months. While we still work with Find Your Shine therapists, we also have our own practitioners as well. We'll be adding more members to our team over the year, with a facility opening in Gilbert by the end of 2026. Frequently Asked Questions: What even is occupational therapy? Filter by Insurance Select Insurance Danielle Remitio, MSN, PMHNP-BC Specialty: ADHD, anxiety, depression, cultural/religious trauma, body image concerns & weight stigma, women's mental health, healthcare burnout, and life transitions Vibe: Relatable, nonjudgmental, real-talk energy, occasionally funny and probably reading a romance fantasy novel when not working Location: Tempe, Telehealth Request an appointment here Danielle is a board certified psychiatric mental health nurse practitioner with years of nursing experience in neurology, acute care, crisis stabilization, and behavioral health. She works with teens and adults navigating ADHD, anxiety, depression, trauma, burnout, and major life transitions. Learn more Meghan Baker, MSN, PMHNP-BC, PMHC, Perinatal Mental Health Certified Specialty: ADHD, Perinatal & Neurodivergence Vibe: Gentle, thorough, non-judgmental, grounded Location: Telehealth Request an appointment here Meghan is a board certified and PSI postpartum mental health health certified psychiatric nurse practitioner. Her background as a Labor & Delivery nurse and educator, along with her personal and professional experiences have cultivated a passion for and expertise in Perinatal/Peripartum and Child and Adolescent psychiatric care. Beyond being a psychiatric nurse practitioner, Meghan is a mom who strongly understands the impact of neurodivergence on the family unit. Learn more Andres Kohler , MSN, PMHNP-BC, Privacy Officer of Paperflower Psychiatry Specialty: Cultural + religious trauma, bipolar, mood, LGBTQ Vibe: Cheerful, nerdy, relaxed, informal, thorough Location : Telehealth Request an appointment here Andres is a psychiatric nurse practitioner. Andy specializes in mood disorders, anxiety and is excited to nerd out and tell you all the facts about the medication you take. He will see all ages and he really likes dogs. We told him his dogs need to be assisting him during evaluations. He also has chickens and likes cats..but we don't think he likes reptiles. Who doesn't want to talk to dogs during a psych eval? Learn more Michaela Tweh, MSN, PMHNP-BC Specialty: ADHD, Perinatal, Anxiety, OCD, Neurodivergence Vibe: Chill, personable, quirky, nonjudgmental Location : Telehealth & soon to be Tucson Request an appointment here Michaela is a board-certified psychiatric mental health nurse practitioner with seven years of nursing experience. Michaela promises to appreciate you where you are at while assisting you to where you want to be. We love that she's knowledgeable with a gentle energy. Learn more Amanda Pursley, MSN, PMHNP-BC Specialty: Mood, anxiety, ADHD, LGBTQIA+ Vibe: Supportive, nonjudgmental, chill, dash of goofy Location: Telehealth & in person rotations in Flagstaff Request an appointment: here Mandy is a board-certified psychiatric mental health nurse practitioner. Mandy loves working with all ages. She is passionate about patient-centered, inclusive care. She values building meaningful connections and aims to make every patient feel heard, supported, and empowered. Learn more Allison Stuart, MSN, PMHNP-BC, PMH-C, Perinatal Mental Health Certified Specialty: Functional medicine + supplements, bariatric patients, perinatal care, IVF, anxiety, mood Vibe: Quick-witted, nurturing, collaborative, an avid swiftie (yes, Taylor Swift.) Location: Telehealth Request an appointment here Ally is a board certified psych NP, specializing in young adults. She is a Health at Every Size practitioner, and has special interests in treating adolescents and adults.She also is passionate about helping women navigate mental health through infertility, pregnancy, and postpartum. She is an OG at Paperflower - and completing her future nurse practitioners as an expert! Learn more Tabitha Arey, MSN, PMHNP-BC Specialty: Ketamine, autism, ADHD & neurodivergence, substance use disorders, adoption/foster care, neurological trauma, perinatal Vibe: Dark humor, existential, relatable + nerdy Location: Tempe & Telehealth Request an appointment here Tabitha is a board-certified psychiatric nurse practitioner who has experience working with children, adolescents and adults. She has previous experience in the neuro-ICU working with extensive trauma. She currently offers neurodivergence evaluations & ketamine injections. She is a super psych nerd and will make sure you have the best understanding of medications and pharmacology. You can hear her on our podcast, Brain Trash. Learn more Dr. Azuka Okafo, CNM, PMHNP-BC, DNP Specialty: Adult mental health, perinatal, teen mental health Vibe: Energetic, curious, humorous, sarcastic Location: Mesa, PHX + Telehealth Request an appointment here Azuka is a board-certified psychiatric mental health nurse practitioner who retired from her life as a certified nurse midwife on the rez to move into providing psych care with us in PHX. We are pumped to have her, and we feel like if you need a provider who is high energy, direct and a lil sarcastic and silly.. she will be great for you. And she def wants to meet your dogs. Learn more Dana Brewer, MSN, PMHNP-BC, CNM Specialty: Transitions, perimenopause, post-menopause, perinatal, adult mental health Vibe: Kind, grounded, compassionate, supportive and a bit quirky Location: Telehealth Request an appointment here Dana is a board-certified psychiatric mental health nurse practitioner with 16 years of experience as a nurse midwife. She is interested in life transitions of all kinds and approaches mental health from an integrative perspective. Learn more Elizabeth Odhner, MSN, PMHNP-BC, PMHC, Perinatal Mental Health Certified Specialty: Perinatal, infertility, postpartum, breastfeeding, mood, anxiety Vibe: Conversational, relaxed, organic, empathetic Location: Telehealth Request an appointment here Liz is a board certified and PSI postpartum mental health certified psychiatric nurse practitioner. She has worked in outpatient telehealth from her Skoblie for over the past year - and we are excited she is finally joining us! She has volunteered for years domestically and internationally. She has worked to promote justice, and will be the perfect person to tell you how much big pharma and capitalism sucks the life out of us. She is passionate about working with the perinatal population. She currently sees all ages. Learn more Dr. Bre Chamoff, DNP, PMHNP-BC, CPNP-BC Specialty: Pediatric ADHD, mood + comorbid medical conditions Vibe: Chatty, thorough, fun, sigma Location: Flagstaff & Telehealth Request an appointment here Bre (LIKE THE CHEESE, of course) is a board certified psych NP - and she is also board certified in pediatric primary care and acute care! She talks really fast and definitely has a lot to say. She's amazingly brilliant and does great connecting with adults, adolescents and small children. She thinks she is hilarious and sometimes she might be. Bre is an OG here at Paperflower and we hope we can keep her forever. Learn more Tatiana Sanabria, MSN, PMHNP-BC Specialty: Anxiety, mood, BIPOC + LGBTQIA+ Vibe: Calming, kind, structured, intentional, gentle Location: Telehealth Request an appointment here Tatiana is a board-certified psychiatric nurse practitioner who has experience working with children, adolescents, young adults, and adults. She is passionate about providing care to folks from marginalized communities, particularly those from low-income, BIPOC, and LGBTQIA+ communities. Tatiana has been a staple with our practice for years, and has consistently offered excellent care. Learn more Jane Na, MSN, PMHNP-BC Specialty: Cultural/religious trauma, BIPOC, LGBTQIA+, ADHD, anxiety, mood Vibe: Easy going, personable, nonjudgmental, amiable, casual Location: Tempe, North Phoenix & Telehealth Request an appointment here Jane is a board certified psychiatric mental health nurse practitioner who has experience in working with ECT, TMS and psychiatric emergencies. She is passionate about delivering compassionate mental health care and being a patient advocate. She's a really chill person, connects well with people of all ages, and genuinely cares. Jane speaks Korean and conversational Spanish. Learn more Jonathan Frank, MSN, PMHNP-BC Specialty: Adults, mood, anxiety, ADHD, LGBTQIA+ Vibe: Nerdy (Star Wars, anyone?), chill, thoughtful, nonjudgmental Location: Tempe Request an appointment here Jon is a board-certified psychiatric mental health nurse practitioner. Jon was the first ever NP hired at Paperflower in 2021 - and although he took a hiatus to explore careers in inpatient, he realized how badass this company is and made his way back. He's a punk rock dude who's all about inclusive care and will definitely make you feel comfortable. Learn more Sharmyn Townsend Specialty: Somatic Experiencing®, touch-based somatic therapy, parts work, somatic coaching, ketamine guiding Vibe: Grounded, supportive, steady, relational, curious, technical, inclusive Location: Phoenix & Telehealth Request an appointment here Since 2010, Sharmyn has helped people throughout the valley feel more at ease in themselves. As a somatic practitioner and coach, she focuses on the connection between body and mind, supporting people who feel stuck in familiar patterns even after years of insight or therapy. Her work draws from Somatic Experiencing®, touch-based somatic therapy, and parts work to support deeper, lasting change. As a ketamine guide, Sharmyn offers a grounded, supportive presence, creating a space that feels safe, steady, and responsive to each person’s unique experience. She works alongside prescribing providers and therapists as part of a broader care team.Her approach is relational, curious, and rooted in deep respect for each person’s autonomy and inner wisdom. She believes healing is personal, connected, and shaped through care, dignity, and community. You’ll likely connect with her if human rights matter deeply to you. Learn more Becky Beckley, OTD, OTRL/L Specialty: EDS, POTS, chronic conditions, fatigue, ADHD, autism, anxiety, mood disorders, executive functioning challenges, brain fog, perinatal, and peri/post-menopause Vibe: Calm, compassionate, supportive, proactive, and grounded—with a little humor and quirkiness mixed in Location: Northeast and Southwest Appointment link unavailable for now Becky is a licensed occupational therapist offering telehealth in Arizona and Oregon. She works with adolescents and adults who are navigating chronic conditions, neurodivergence, mental health challenges, life transitions, and the everyday stress of trying to keep up with it all. Her approach is warm, practical, and whole-person focused, with care that is neurodiversity-affirming and gender-affirming. With a doctorate in occupational therapy, Becky brings experience from first episode psychosis teams and a physical therapy clinic supporting people with hypermobility, EDS, and related conditions. In sessions, she focuses on real-life strategies that help clients build routines, manage energy, reduce overwhelm, and do more of the things that they want and need to do every day. Learn more ¡Conéctame con un proveedor! ¡Conéctame con un proveedor! IMG_6694 IMG_4170 DSCF0804 signal-2025-07-01-122019 IMG_4117 signal-2025-06-29-103900 IMG_6357 IMG_2668 signal-2025-06-27-214957_002 Show More

Explore the latest in occupational therapy in Arizona, USA. Discover innovative health solutions and resources to support your well-being. Occupational & Physical Therapy Fisioterapia de movimiento y movimiento La Dra. Nikki es una fisioterapeuta pediátrica que brinda atención médica a domicilio. Sí, ¡viajará a su hogar! Trabaja con bebés y niños, y también se especializa en niños con parálisis cerebral y ofrece capacitación para cuidadores. Horizonte AZ Terapia del habla, fisioterapia y terapia ocupacional para niños con necesidades especiales. Ubicaciones: Colina baja Arroyo de la reina Peoria Niños óptimos de Arizona Terapeuta ocupacional especializada en trastornos de Tourette y tics. Disponible de lunes a sábado, en varios horarios según sea necesario. Pago privado - niños y adultos Teleterapia y algunas sesiones presenciales Disponibilidad inmediata Terapia del suelo pélvico Thrive If you have a vagina and have experienced pain during sex, birth (yes at all), PCOS, endometriosis..or if you are a person that has experienced fecal incontinence, this could be a great option. If you are pregnant, they offer a "labor and discovery" session which shows you a personalized view of which positions are best for your body to labor in.

Meet Rome Gamusaran, RN (he/his) Supervisor at Paperflower Psychiatry. Providing compassionate care in Arizona, USA. Get to know the heart behind the healing. Rome Gamusaran, RN Rome is an experienced customer service representative as well as a registered nurse. Driven by his passion to help, he takes pride in providing the best client support possible. As our registered nurse, his goals include making a comfortable conversation when setting appointments, making sure that patient medical records current, and filing them correctly. Rome brings an empathetic and easygoing communication style, and a sweet sense of humor, making it easy for him to talk to patients and family members. Rome is one of the greatest fans of the LORD OF THE RINGS TRILOGY and has six cats named after the movie's famous characters. And ohh, he may have also named his daughter after GALADRIEL (an elf). We now know that his wife is aware of this, and his daughter is freaking cute. He made us laugh. We know you'll like working with him. Oversees Support Staff Oversees Billing Team Patient Assistance

Discover the best eating disorder recommendations in Arizona. Our health-focused website provides valuable resources and support for those in need. Nutrición y tratamiento de los trastornos alimentarios Abbey Roberts (dietista) Opciones para adolescentes y adultos. Ubicaciones en Scottsdale, Tempe (programa ambulatorio intensivo) y Wickenberg (tratamiento residencial). Fat positive, Health at Every Size trabajará con usted para desestigmatizar la comida y el peso más allá de simplemente hablar de lo habitual. Conexiones comunitarias Programas ambulatorios intensivos para adolescentes y adultos, así como programas residenciales. Futuros saludables En Scottsdale se encuentran disponibles programas ambulatorios intensivos tanto para adolescentes como para adultos. All Star Dieticians Trabajamos con todo tipo de trastornos alimentarios, pero también brindamos apoyo dietético para la nutrición deportiva y ofrecemos pruebas metabólicas. Rancho Rosewood Opciones para adolescentes y adultos. Ubicaciones en Scottsdale, Tempe (programa ambulatorio intensivo) y Wickenberg (tratamiento residencial). Bienestar Sinnergy Especialistas en todo tipo de trastornos alimentarios para todas las edades. Programa para atracones alimentarios. Equipo integral. Tratamiento disponible para el trastorno de ingesta alimentaria restrictiva y evitativa. Abby Chan Abby is a dietician who specializes in helping people re-establish their relationship to food, movement, and their bodies while practicing body acceptance and neutrality.

Explore Paperflower Psychiatry's services and fees, including psychiatric evaluations, ADHD testing, genetic testing, QBtesting and paperwork processing. Learn about our self-pay discounts, sliding scale options, and policy guidelines. Now accepting new patients in Arizona. Currently accepting most plans of the following for our psychiatric evaluations & follow ups: Send us your insurance card to billing@paperflowerpsychiatry.com to check if we cover your specific plan. We do not take AHCCCS. Please note that we require a credit card on file for copays, deductibles, and self pay fees. Please read the policy section and the consent upon booking regarding refunds, contacting your provider no-shows and cancellations. If you cancel less than 24 hours prior to appointment, miss your appointment or are late by over 10 minutes, you are responsible for the full self-pay fee, regardless of insurance status. Please ensure you cancel on time. We cannot make exceptions. Inquire about sliding scales and payment plans as needed by emailing billing@paperflowerpsychiatry.com All pricing below reflects self pay prices. If you are curious about the amount of a deductible or copay you may owe, just send us an email! The Service Menu Todo Ketamine Integrations Others Psychiatric Evaluations 01 Psychiatric Evaluations $300+ A psychiatric evaluation is a 60-90 minute appointment in which we will ask a lot of questions about sleep, your mood, medications, and so on! We can discuss medication and supplement options, diagnosis, and other recommendations. We do child/adolescent evaluations, adult evaluations, family planning/peripartum evaluations, postpartum evaluations, pre-operation evaluations, asylum evaluations, ESA evaluations + more! Book now! 02 Follow Ups + Consultations $120+ Follow ups are a 15-30 minute appointment in which you can discuss how you are doing, your sleep, appetite, medications, and ongoing things in your life. We can discuss medication adjustments or changes, review labs, or even just check in to see if you're doing okay! We also offer initial 30 minute *finding the right fit* visits for the same price. If you are a parent who wants a visit without their child present, please note this will always be self pay. Insurance will not cover unless your child is present. Book now! 03 Neurodivergence Evaluations $600 to $1000 Evaluations for ADHD + Autism Spectrum Disorder by experienced nurse practitioners. It includes a clinical interview, TOVA/Qbtest, MIFGAS testing or the ADOS, and a thirty minute follow up to review results. **SELF-PAY ONLY!!! THESE ARE NOT COVERED BY INSURANCE AND CAN NOT BE REIMBURSED VIA SUPERBILL.** Current patients: $600 (express testing) Not existing patients: $800 to $1,000 (comprehensive testing) note: d iagnoses by us do not allow for services/eligibility for DDD. Email us 04 QB Tests & Tova Tests $150 Computerized ADHD testing available at Flagstaff, Tempe, Tucson & North PHX locations. Each test comes with a report. Please contact delfina@paperflowerpsychiatry.com for an appointment. Please note, this is not diagnostic and we do not offer interpretation without a full evaluation if you are not an existing patient. Learn more 05 Paperwork + Records $25+ We can complete paperwork at your provider's discretion for employment, accommodations, educational concerns, emotional support animal letters, disability, surgeries, trans health, FMLA, and more as needed. For a simple document, it starts at $25. We charge an additional $25 per 15 minutes to complete complex paperwork. All paperwork requires 72 business hours to complete. If you would like the form same day, it will be a $100 fee for expediting. Medical record requests are $50 per request. 06 Genetic Testing Per Insurance We offer services from Genomind and Genesight. We will send a kit to your house to swab you (or your child's cheek). We will receive a report of how you metabolize medications and if you have the MTHFR gene mutation. We do require a 30 minute follow up to review the results. Genomind Info Genesight Info 07 Ketamine Evaluation $250/60 minutes We offer Ketamine Injectables in conjunction with Find Your Shine therapy for Ketamine Assisted Psychotherapy. We also provide guidance if you would like to use a guide within Paperflower. Evaluations are required whether you are an existing or new patient. You may be able to have a superbill for some reimbursement from your insurance. These evaluations offer medical and psychiatric clearance to receive Ketamine within our clinics for therapy. Email us 08 Ketamine Administration with Find Your Shine or Guided Injection with Paperflower $300/injection All Ketamine Administration is currently done at our Tempe office and in collaboration with a guide -- either John or Find Your Shine Therapist for Ketamine Assisted Psychotherapy. This does not encompass the therapy fee. Please contact your therapist at Find Your Shine to coordinate a time for your injection. Contact 09 Ketamine Evaluation & Prep Session with our Guide $325 If you would like to use John as a guide for your Ketamine journey through Paperflower, we can offer a package with an evaluation & initial virtual prep session with your guide. Evaluations are required whether you are an existing or new patient, and are not covered by insurance. You may be able to use a superbill for some reimbursement. Your prep session with your guide will review your intentions, and provide guidance on what to expect on your journey. Integration sessions can be booked after for $50 per session. Email 10 After Hours Calls $100/30 minutes Emergency after-hour calls are typically not taken as we are not an emergency service. However, if your provider decides to offer an after-hours call for your specific situation, it will be a fee of $100/30 minutes which is not covered by insurance. Please be aware of resources such as Mind 24/7 and the Crisis Team which may be more appropriate. 11 Same Day Refills $10 to $15 We ask for 72 business hours to complete refill requests. If you run out of pills and need an urgent same-day request, there is a $10 processing fee. For after hour same-day requests, weekends or holidays, there is a $15 processing fee. 12 Mind Altering Consultant Prices on Page here Contact for Pricing Exploring psychedelics, microdosing, or healing retreats abroad? We’ve got an affordable option. Our in-house Psychedelic Consultant offers expert guidance, safety tips, and real talk—whether you're curious, integrating a tough trip, or navigating medication interactions. Think of him as your go-to guide through the psychedelic landscape. Hourly consults available -- use your time for education, processing, discussing and planning legal retreats, discussing the best cannabis options for your sleep or anxiety.

Meet Ally Stuart, a board-certified psychiatric nurse practitioner at Paperflower Psychiatry specializing in medication management, health at every size care, functional medicine and postpartum mental health. Offering compassionate care for children, teens, and adults in Phoenix and beyond. Accepting new patients. Ally Stuart, MSN, PMHNP-BC, PMH-C Ally is a board-certified Psychiatric Mental Health Nurse Practitioner with a Perinatal Mental Health Certification. She has been a nurse for over seven years, specializing in psychiatry. While she is not new to mental health, Ally has spent many years in the behavioral health field, working as a counselor, case worker, and program supervisor. Ally pursued her graduate degree to create a more collaborative client-provider relationship within a company whose values align with her own. She takes a comprehensive approach to treatment, incorporating therapy, lifestyle modifications, supplements, and, when appropriate, medication. Her goal is to provide compassionate, responsible psychiatric care—not just quick fixes—so that patients receive the support they truly deserve. Ally fosters authentic relationships with her clients, encouraging them to take an active role in their treatment. Ally currently resides in the Phoenix, AZ area with her spouse and child. Outside of work, Ally has a love affair with farmer's markets, small coffee shops, and bakeries. She loves going on cruises and traveling and would love to discuss your upcoming vacation itineraries. Perinatal Care Health at Every Size Functional Psychiatry Ally holds a perinatal mental health certificate and is excellent in offering care in pregnancy planning, IVF, pregnant and postpartum patients. If you've ever faced discrimination over your weight or worried about being told the solution is to "lose weight" -- Ally gets it and is not about that type of care. Ally has completed additional training in functional psychiatry in order to offer holistic supplement and other recommendations to complement your healing journey. Q&A What is your favorite movie? I am not much of a movie-goer since I can't seem to sit through an entire film, but give me a good series any day. I just finished Workin' Moms (let's not even talk about THAT cliffhanger of Season 6). Coming from the basic 'bee' side of me, I will happily watch any cooking challenge series or home design show. The Great British Baking Show!! Jolly good. Favorite superhero? Right now- Bernie Sanders and AOC If you could have a superpower, what superpower would you pick? Okay, so I have given this a lot of thought. The first one would be to be able to apparate (HP fan?? Anyone?) so I could bypass having to go to the airport. Second would be the ability to always have exact change in my pocket for any purchase that I made. Favorite bands/singer? The Rocket Summer and Jack's Mannequin. I'm also a Swiftie. If you had 3 wishes, what would you wish for? 1. A government that actually gave a flying fuck about their country and the people that live in it. 2. A really good brand new commercial espresso machine in my house. 3. World Peace (*Name that movie*) What is your favorite food? I love food. Sushi, enchiladas, falafel. Let's talk Crumbl Cookies and curry dishes, please. Samples at Costco for lunch, don't mind if I do. Oh and coffee (in case you haven't caught that yet)-- iced lattes and cold brew!! If you know of a cute coffee shop or bakery that I need to try -- please tell me. What are you most passionate about in the mental health field? When it comes to mental health, I truly think that getting to know who you are as a whole person is one of the most important things that can happen. You are a person who has endured magical, painful, exciting, and hard things. You are more than just symptoms, and answers don't always just lie in prescriptions to cover up these symptoms. Mental health is a whole-body experience and a journey not merely a destination. What are some experiences you have had that make you unique? unique? My husband and I went through the IVF process to start our family so I understand the intense and heart- wrenching experience that this is. It pushes you emotionally and physically in ways that I never imagined with no guarantees in the end. It's like being a part of a community you never asked to be a part of but you meet some pretty amazing people nonetheless. What is your philosophy on using medication to treat mental health? Are medications lifelong? Does a patient who sees you HAVE to be on medication? I think using medication to help with treatment is just a piece of an overall picture. Medications are definitely not meant to be lifelong. My philosophy is to provide you with all the best information I can to allow you to make an informed and comfortable choice for yourself whether that is incorporating medication into your treatment or not. If a patient is nervous about an evaluation, especially when talking about tough things like trauma or sexual abuse, what would you want them to know? Talking about tough things, especially trauma can be so difficult, especially when you're just meeting with a new person for the first time. Trauma can be messy and confusing and can be hard to make sense of. When it comes to any part of our conversations, you control what you are ready and willing to share. I am here to listen in a comforting, validating, and non-judgemental way. Do you have any personal experiences regarding mental health you are open to sharing? sharing? After I had my first baby I was very confused and scared by high anxiety and intrusive thoughts. Even being in the field for so many years I had never even heard of postpartum OCD. Now every new parent I run into I'm like "How are you REALLY doing?" and it has made me very eager to support other parents! You've mentioned being passionate about working with the Health at Every Size (HAES) population, can you tell us more about that? I live my life in a larger body. I have experienced discrimination because of my size when seeking medical care and have made a commitment as a provider to provide a weight-neutral approach to treatment. I fully recognize how diet culture is smashed into our faces virtually every day since the day we were born and how that can affect self-esteem. This can affect how we think we deserve to be treated because of our weight. We should not be afraid to go to providers because we fear they will judge or blame us or treat us less because of our size. I am a big advocate of Intuitive Eating principles and healthy, fulfilling body movement.

Meet Jane Na, MSN, PMHNP-BC, a compassionate Psychiatric Nurse Practitioner offering expert care and psychiatric medications in Tempe, AZ. Jane Na, MSN, PMHNP-BC Hi! I’m Jane, I am a board-certified Psychiatric Mental Health Nurse Practitioner committed to delivering compassionate mental health care, with an approach that focuses on empowering the patient to feel heard about their health care choices and decisions. I have special interests in the LGBTQIA+ population, cultural and religious trauma, ADHD, anxiety, and mood disorders. I have extensive prior experience in providing patient care across diverse healthcare roles including various positions in both medical and psychiatric settings at major hospitals, most notably providing direct care to COVID-19 patients throughout the pandemic, experience with SMI populations in acute emergencies, and various treatment modalities such as electroconvulsive therapy and trans magnetic stimulation. I am born and raised in Arizona, where I still reside with my spouse and fur-child. In my free time I enjoy being a caregiver to my many house plants, travelling, camping, being a pro-bono private chef to my friends and family, and working out. I am passionate about integrating lifestyle and holistic approaches in the treatment of mental health and believe in the importance of fostering long-term relationships with my patients to promote wellness across all stages of life. LGBTQIA Mental Health Jane is incredible at connecting with people across the lifespan especially adolescents -- particularly in the LGBTQIA+ demographic. She strongly understands the implications that LGBTQIA+ requires specialty care. Religious Trauma While we don't offer therapy, it is critical that your provider understands the impact of your history on your symptoms. Jane offers strong understanding and has a passion for working with survivors of religious trauma. BIPOC As a Korean-American, Jane remains passionate about serving BIPOC populations -- especially first generation immigrants. Q&A What is your favorite movie? Midnight in Paris, confession- I’m a Francophile. I love anything and everything that has to do with anything French and history, which is the perfect combination for this movie in which the main character (Owen Wilson) time travels to the 1920’s, the Golden Age in Paris and mingles with all the cultural greats including the Salvador Dali, Picasso, Ernest Hemingway, etc. I also love the book The Nightingale by Kristin Hannah, and there are rumors that there will be a movie adaptation, so adding that to the future favorites list as well. Favorite superhero? Mulan! Growing up, she was the first “superhero” that I could relate to who looked like me as a young teenager and it was so empowering. Add to that, the fact that she was training with the boys and constantly enduring obstacles and odds that were against her as a female warrior in a male dominated world? Amazing! If you could have a superpower, what superpower would you pick? Definitely teleport to any point in history. I would love to live a day in different time periods anywhere in the world. Be a shopkeeper in ancient Rome, Parisian florist in the 1940s, an activist in the American 70’s. Favorite bands/singer? ome of my favorites include Lady Gaga (best performance I have ever seen live), Daft Punk, Glass Animals, Masego, Jungle, Tems, Post Malone, Kehlani, Beyonce, J.Cole, and I enjoy frequenting international playlists on spotify and seeing what is popular elsewhere. If you had 3 wishes, what would you wish for? A radical transformation in the hearts and minds of humanity, where everyone can live in peace and solidarity without division and hate. Eradication of politics, and creation of a magical system that supports the best interest of every human being. Free airline travel for everyone to anywhere. Tell us a fun fact about yourself: I am a huge sports fan! I love mainly basketball, baseball, football, and the Olympics, and you can catch me tearing up throughout the entire opening and closing ceremonies. Go Suns, Cards, Dbacks! Tell us about your pets: I have one dog her name is Salem, she’s a Maltese-Poodle mix who is an introvert and lives comfortably with her anxiety. She will only drink water if you pretend to dump out the old and put new water in her bowl, likes her alone time, but is the sweetest, most well-behaved little fur-child. What are other things you feel could be beneficial to improve mental health other than medications?: I mentioned some in my previous answer, but there are so many aspects to improving our mental health other than medications, and I absolutely love diving into these conversations. I am a reformed workout junkie, believe in the idea of exercise in strengthening our mental health whether it starts with taking brief walks throughout the day or strength training. If a patient is nervous about an evaluation, especially when talking about tough things like trauma or sexual abuse, what would you want them to know? I may repeat this when we meet in real life, but I want you to know that I am here for you. This is your time, your story, you are in control, and I will provide you with a safe, confidential, and non-judgmental space. It’s difficult enough to have to repeat these difficult topics, but I am here to actively support you though your journey. You've mentioned being passionate about working with people with religious/cultural trauma - can you tell us about that? Many people who endure any form of trauma due to either religion or culture most often do not have a choice in which group or setting they were born, unfortunately we don’t get to choose what kind of life we will live. I distinctly remember growing up wondering why I was born with certain contexts in place. Religions and cultures have many characteristics, teachings, definitions, and beliefs that can provide positive guidance and wonderful benefits in life, but unfortunately much stigma, a life of surveillance, prejudice, lack of acceptance, and discrimination can also arise. Working with those who have shared these experiences is important to me because these forms of trauma can deeply shape a person’s identity, relationships, and worldview, creating long-lasting effects on mental health. I am here for you to rediscover your own agency and feel validated in your experience. Do you have any personal experiences regarding mental health you are open to sharing? sharing? After I had my first baby I was very confused and scared by high anxiety and intrusive thoughts. Even being in the field for so many years I had never even heard of postpartum OCD. Now every new parent I run into I'm like "How are you REALLY doing?" and it has made me very eager to support other parents! What is your philosophy on using medication to treat mental health? Are medications lifelong? Does a patient who sees you HAVE to be on medication? Whether or not someone wants to be on medications is completely up to them. There are many different factors that may play a role in the decision, but ultimately medications are only a piece of the larger puzzle, and sometimes to complete the puzzle, they may need to be utilized depending on the situation. I do believe in holistic and functional psychiatry as well, involving various components such as nutritional interventions, gut brain health, hormones, lifestyle factors to name a few, but sometimes we need help with the neurotransmitters in our brain that may be imbalanced and need some encouragement to get back on track. It is also impossible to say if medications need to be lifelong, because just like that, life is long and it truly depends on the multiple mile markers along your journey. Do you have any personal experiences regarding mental health you are open to sharing? When I came out to my Korean parents at age 15, they called a Catholic priest and psychiatrist (both Korean) over to our house. I’m sure you can tell what kind of ride I’ve had in my own mental health experience. Part of the reason why I immediately wanted to study psychology in college was so I could help another young girl with so much angst understand why they were feeling this way, and that it was going to get better. Guess what, it did get better, and now I have the pleasure of pursuing my lifelong goal! How do you feel about marijuana? I completely support the powerful and positive benefits of marijuana, but with anything in life, in moderation and depending on your specific situation. What are your thoughts about treating adult ADHD? I was never treated for ADHD as a child because my parents did not believe in mental health care, but I remember struggling so much throughout my younger life with all the symptoms but thought it was normal. I didn’t realize until I was older that I was working much harder than others to accomplish the same tasks. Since then, I have been treated for ADHD as an adult, and firmly believe that proper assessment and treatment can be a gamechanger for many who continue to struggle in their adult years.

Looking for top-notch health referrals in Arizona, USA? Discover a variety of rad therapists and other healthcare professionals on our page. Terapeutas de radiología y otras referencias Nuestro objetivo en Paperflower es ayudarte a conectarte con otros profesionales que puedan ayudarte a alcanzar tus metas y prosperar en la vida. Pasamos MUCHO tiempo comunicándonos con terapeutas y otros profesionales dentro de la comunidad para asegurarnos de que estamos estableciendo referencias y opciones de calidad para ti. Estamos haciendo el trabajo duro para que puedas ir a tomar un café y reunirte con ellos antes de enviarte a ellos. Referencias de terapeutas Aquí está nuestra lista completa. Puede resultar útil utilizar "CTRL F" para encontrar algo específico que esté buscando (seguros, EMDR, etc.) Groups, Intensive Outpatient & Residential Treatment Grupos actualizados mensualmente. Pregnancy Referrals Si has tenido una gran experiencia con una partera, un obstetra o una doula, ¡cuéntanoslo! Primary & Medical Care Pediatras, atención primaria, atención especializada y opciones de reemplazo hormonal. Fisioterapia y terapia ocupacional Incluye un fantástico fisioterapeuta pediátrico/infantil y algunos excelentes terapeutas ocupacionales. Dietistas y tratamiento de trastornos alimentarios Continuamos trabajando en esto; también verifique las referencias de terapeutas para terapia individual especializada en trastornos alimentarios. Enfermeras psiquiátricas y ketamina If we aren't right for you, no worries. Pruebas psicológicas y evaluaciones de autismo Other Community Resources Sólo algunas cosas que pueden ser beneficiosas o de interés.

Meet Mallory Hodges, an energetic, friendly, compassionate psychiatric mental health nurse practitioner at Paperflower Psychiatry. Mallory specializes in LGBTQ populations, anxiety and sees all ages -- although young adults are her jam! Accepting new patients. Meet Melissa Alas Solicitar cita Melissa Alas PMHNPBC (ella /suya) Enfermera practicante de salud mental psiquiátrica Mallory is a board-certified psychiatric NP who previously trained with our original NP, Jonathan Frank. Mallory has experience working with adults in the ICU setting. She brings a calm and grounded energy to every situation, creating a welcoming and supportive atmosphere. Her positive outlook helps her connect easily with others, and she approaches challenges with optimism and an open mind. Mallory fosters a sense of ease and encouragement in both personal and professional interactions, maintaining a happy, uplifting demeanor even in high-pressure environments. She is deeply committed to supporting the mental health and well-being of the LGBTQIA2S+ community. Her passion lies in creating safe, affirming spaces where individuals can explore their identities, overcome challenges, and thrive. Mallory strives to provide culturally competent and inclusive care that acknowledges and celebrates the unique experiences of this diverse community. Mallory with be working at our North office in person, once a month in Flagstaff & Tempe, as well as virtually.