Service and Fee Transparency

Specialized Psychiatric Services

Perinatal Peds Nursing, Inc. provides tailored mental health care for:

Preconception and Fertility: Mental healthcare for those encountering emotional, psychological, or psychiatric challenges during preconception and fertility planning or treatment.

Pregnant & Postpartum Patients: Support for mental health concerns that arise during pregnancy and the postpartum period, including mood, anxiety, adjustment, and reproductive mental health challenges.

Children & Adolescents: Care for a wide range of emotional, behavioral, developmental, and psychiatric concerns affecting pediatric and teen patients.

Parents & Families: Support for caregivers navigating their own mental health needs, parenting stress, family transitions, or concerns related to a child’s emotional or behavioral wellbeing.

Adults: Support for adults across the lifespan experiencing mental health concerns who value a comprehensive, relationship-based psychiatric approach, including medication management and integrative, non-medication treatment options within the scope of psychiatric care.

Services & Fees

Perinatal Peds Nursing, Inc. provides personalized psychiatric care for pediatric, adolescent, perinatal, and adult patients. Below is an overview of our visit types, formats, and fees.

New Patient Services

Pre-Evaluation Parent Consultation

A 60-minute parent or guardian-only consultation for caregivers who would like to discuss concerns about their child or adolescent before scheduling a comprehensive initial psychiatric evaluation. This session provides an opportunity to review your observations, discuss developmental, emotional, behavioral, or school-related concerns, and explore whether a full psychiatric evaluation may be helpful.

Parents often use this consultation to:

• Share concerns privately before involving their child

• Review developmental, behavioral, emotional, or school-related challenges

• Review prior supports or treatment experiences

• Discuss whether a full evaluation may be helpful

• Ask questions about the evaluation process

• Receive guidance on possible next steps

Important Notes:

• This consultation is informational and consultative in nature

• The child/adolescent is not present and not directly evaluated

• No psychiatric diagnosis is made

• No treatment plan is established

• Medications are not prescribed or recommended

• This consultation does not establish ongoing care

If you choose to proceed, a separate Initial Psychiatric Evaluation with your child/adolescent will be required to establish care.

Fees:

• 60 minutes — $400 — Office or Telehealth

• Home or offsite available for 60-minute visits (+$250)

Initial Psychiatric Evaluation

A 60-minute comprehensive diagnostic assessment is required for all new patients seeking ongoing care.

The evaluation includes:

• Review of medical, developmental, psychiatric, and family history

• Assessment of current symptoms and concerns

• Mental status examination

• Diagnostic formulation (when appropriate)

• Initial treatment planning

Fees:

• 60 minutes — $450 — Office or Telehealth

• Home or offsite available for 60-minute visits (+$250)

New Patient Consultation Package

A bundled option designed to support a thoughtful and stable start to care.

Includes:

• One 60-minute Initial Psychiatric Evaluation

• Two 30-minute Follow-Up Appointments

Fees:

• $550 — Office or Telehealth

Important Notes:

• The New Patient Consultation is a bundled package with a single fee of $550 and charged at the time of booking

• The package covers only the services listed above

• Individual sessions outside the package are billed at standard rates

• After completion, visits transition to standard follow-up fees

• Most new patients are seen monthly at first for safety, continuity, and monitoring. Once stable, visits may occur less frequently. Patients must be seen at least every 3 months to remain active in the practice

Established Patient Services

Follow-Up Appointments

For established patients who have completed an Initial Psychiatric Evaluation:

Standard Follow-Up

A 30-minute Follow-Up Appointment includes:

• Review of treatment progress

• Medication and/or non-medication management

• Mental health check-in

• Therapeutic support

Fees:

• 30 minutes — $200 — Office or Telehealth

Extended Follow-Up

A 60-minute Follow-Up Appointment includes:

• Review of treatment progress

• Medication and/or non-medication management

• Mental health check-in

• Allows extra time for comprehensive symptom review, care planning, and additional therapeutic support

Fees:

• 60 minutes — $400 — Office or Telehealth

Please Note:

• Home or offsite visits available for 60-minute appointments (+$250).

• Follow-up visits are not a replacement for weekly therapy. Referrals can be provided as needed.

• Patients must be seen at least every 3 months to remain active in the practice.

Parent Consultation

A 30-minute or 60-minute parent or guardian-only consultation available for families of established patients. This session provides support between appointments and allows parents or guardians to discuss concerns, share updates, and receive guidance on supporting their child at home.

Common reasons for scheduling a parent consultation include:

• Sharing sensitive information privately

• Discussing behavioral, emotional, or school-related concerns

• Reviewing treatment progress or new challenges

• Parenting strategies and support

Fees:

• 30 minutes — $200 — Office or Telehealth

• 60 minutes — $400 — Office or Telehealth

• Home or offsite available for 60-minute visits (+$250)

Care Coordination

Care coordination and collaborative planning supports communication and alignment among the professionals involved in your or your child’s care when clinically appropriate. This is a scheduled service that includes dedicated appointment time for coordination, consultation, and collaborative planning across providers and settings. This service is designed to promote cohesive, consistent treatment across settings and providers.

Coordination may include:

• Communication with therapists, psychologists, pediatricians, primary care providers, OB/GYNs, or other medical providers

• Consultation with schools, counselors, or educational teams

• Participation in case conferences or collaborative planning meetings

• Review of records or reports from outside providers

• Written input to support treatment or accommodations

• Integration of recommendations into the overall care plan

• Direct consultation sessions with outside providers, schools, or caregivers when appropriate

Fees:

Care coordination services will be disclosed and billed based on time required.

• 30 minutes — $200 — Office or Telehealth

• 60 minutes — $400 — Office or Telehealth

• Offsite available for 60-minute visits (+$250)

Please Note:

• Services are provided at the clinician’s discretion and require a signed Authorization for Release of Information to communicate with outside providers.

• Care coordination is not automatically included in routine appointments and must be scheduled separately when needed.

• Coordination may occur via phone, secure messaging, video, or written communication, depending on the situation.

• Requests are subject to clinical appropriateness and availability.

• Additional fees may apply for extended coordination or travel.

Visit Location Options

Available for both new and established patients.

Home Visits

Home visits offer care in the comfort of your own environment, reducing stress and helping you or your child feel more at ease.

Available for:

• 60-minute Initial Psychiatric Evaluations

• 60-minute Pre-Evaluation Parent Consultations

• 60-minute Follow-Up Appointments

• 60-minute Parent Consultations

Fees:

• Home Visit Add-On: +$250 (for 60-minute visits only)

Travel Fees for Home Visits:

• Travel outside Santa Barbara, Goleta, or Montecito may incur a fee

• Flat rate: $200/hour of travel

• Travel fees are disclosed before scheduling and must be paid at the time of service

Please Note:

• Families (or adult patients) are responsible for ensuring the home environment is quiet, private, and distraction-free.

OffsiteVisits

Offsite visits take place in community settings such as schools, campuses, or workplaces. This convenient option helps minimize travel time and keeps time away from school or work focused solely on care.

Available for:

• 60-minute Initial Psychiatric Evaluations

• 60-minute Pre-Evaluation Parent Consultations

• 60-minute Follow-Up Appointments

• 60-minute Parent Consultations

• 60-minute Care Coordination

Fees:

• Offsite Visit Add-On: +$250 (for 60-minute visits only)

Travel Fees for Offsite Visits:

• Travel outside Santa Barbara, Goleta, or Montecito may incur a fee

• Flat rate: $200/hour of travel

• Travel fees are disclosed before scheduling and must be paid at the time of service

Please Note:

• Families (or adult patients) are responsible for coordinating and obtaining any necessary approvals from the school, campus, or workplace before an offsite visit.

Additional Services & Policies

Documentation Requests

Additional fees may apply for:

• Letters

• Forms (school, disability, accommodations)

• Record summaries

• Prior authorizations

All documentation:

• Must have clinical justification

• Is at the provider’s discretion

• May include rush processing fees if expedited

• Requires payment before release

Insurance & Payment Policies

We are a private-pay practice. Insurance is not accepted, but we can provide a superbill for out-of-network claims. Payment methods accepted:

• Credit/Debit (Visa, MasterCard, AmEx, Discover)

• HSA/FSA Cards

Good Faith Estimate (No Surprises Act)

You have the right to a Good Faith Estimate for services before care begins.

• Required for uninsured/self-pay patients

• If charges exceed the estimate by $400+, you may file a dispute

• Learn more: www.cms.gov/nosurprises

Sliding Scale & Financial Assistance

We do not currently offer sliding scale fees or financial assistance.

Cancellation & No-Show Policy

• Cancel or reschedule with 24+ hours' notice

• Late cancellations (<24 hours): $100 fee

• No-show: Full session fee charged

Medication Policy
Controlled substances require close monitoring and may need in-person visits. Early refills or changes are not guaranteed.

Termination of Care
We may end care in accordance with our policy if there are:

• Missed appointments

• Nonadherence

• Unsafe or inappropriate behavior

Legal Disclaimers

No Insurance Guarantee
We cannot guarantee out-of-network reimbursement. Please verify your benefits directly.

No Emergency Services
If you’re in crisis, call 911 or the 988 Suicide & Crisis Lifeline.

Scope of Care
We do not offer:

• Forensic evaluations

• Court-ordered assessments

• Disability determinations