For Referring Clinicians
Referrals
How co-management works
We accept referrals for interventional treatment from clinicians who do not offer these treatments in their own practices, and we accept referrals for full psychiatric care.
In an interventional referral, the patient remains your patient. We provide the treatment you have referred for and return the patient to your care. We do not take over medication management, we do not redirect the patient into our general psychiatric panel, and we do not solicit the referred patient for other services. Where we identify something during our evaluation that bears on the patient's ongoing treatment, we communicate it to you rather than acting on it.
Our office handles the prior authorization for the treatment, including the documentation required by the payer, and we keep you informed at defined points during the course.
TMS
TMS referrals
We accept TMS referrals from psychiatrists who do not offer TMS in-house. The referring psychiatrist retains medication management. We perform the TMS evaluation, obtain prior authorization, deliver the treatment course, and send records at initiation, midcourse, and completion.
TMS is provided using the MagVenture system. A standard course is 36 sessions, five days a week for four to six weeks, followed by a short taper. Patients continue their existing medications throughout, and we do not require changes to a referring clinician's regimen in order to begin treatment. Where a medication change appears warranted during the course, we will contact you.
Spravato
Spravato referrals
We accept Spravato referrals on the same basis. Lakeridge Psychiatry is a certified treatment center under the REMS program required for esketamine.
The referring clinician retains medication management, including the oral antidepressant that is taken together with esketamine. We perform the evaluation, obtain prior authorization, supervise and monitor each session under the REMS requirements, and send records at initiation, at the transition to maintenance dosing, and at completion or transfer of care.
Because Spravato requires that every dose be self-administered on site under supervision and followed by monitoring of at least two hours, treatment-day logistics are worth discussing with the patient before referral, including transportation, since patients may not drive following a session.
Process
How to refer
To refer a patient for TMS or Spravato, fax records to 570-781-6191 or call 972-332-5922.
Please send the following:
- Patient demographics and contact information
- Insurance information, including the plan and member identification number
- Current medication list
- Office notes documenting the treatment history, including the medications tried, the doses, the duration of each trial, and the response
The treatment history is the most important item on this list. Prior authorization for both treatments depends on documented medication trials at adequate doses and durations, and an incomplete record is the most common reason an authorization is delayed.
We will contact the patient directly to schedule the evaluation. You will receive our findings whether or not we proceed with treatment, including the reasons if we determine that the patient is not a candidate.
In an interventional referral, the patient remains your patient.
General psychiatry
Other referrals
Clinicians referring a patient for full psychiatric care, rather than for a specific treatment, may use the same fax number and phone number. Patients may also book an evaluation directly online without a referral.
Our services are described on the Psychiatric Services page. We provide psychiatric evaluation, medication management, therapy within longer visits, deprescribing, adult ADHD evaluation and treatment, addiction treatment including buprenorphine, geriatric psychiatry, and psychiatric care for patients with medical illness.