§ 01 The arrangement
Your patient
stays yours.
I manage the psychopharmacology. You hold the therapeutic relationship. We share the chart from day one. That is the whole arrangement, and keeping that line clean is the point of the referral.
A 5–10 minute clinical touch-base. Reserved strictly for referring providers.
Udoka Addy, MSN, ARNP, PMHNP-BC
§ 02 Referral fit
Best referrals
- Adults in Washington needing psychiatric evaluation or medication management.
- Patients who have an established therapist, PCP, or care team and need a prescribing partner.
- Veterans and other Washington adults with depression and anxiety (including insomnia when it clusters with mood), trauma and PTSD, and adjustment after military service, serious illness, or loss.
- Cases where a slower, formulation-driven medication consultation would help.
Not appropriate for
- Psychiatric emergencies, active danger, or referrals needing same-day crisis containment.
- Controlled-substance-only referrals or stimulant/benzodiazepine prescribing requests.
- Therapy-only referrals, custody evaluations, VA claims work, or disability determinations.
- Patients outside Washington State at the time of telehealth appointment.
§ 03 My commitment to you
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Response within 24 hours, weekends included.
No referral disappears into a void. Every intake request gets a human reply the same or next day.
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A pre-built, bidirectional ROI at intake.
Your patient signs once. We both have chart access and clinical visibility from day one. No chasing paperwork.
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Closed-loop updates at real milestones.
Initial formulation, medication changes, stabilization, discharge. Substance, not noise.
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A direct clinical line, not a portal ticket.
For case discussion, picking up the phone is faster than typing. I treat that as part of the work.
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Your patient remains your patient.
Medication management is my lane. Therapy is yours. That boundary is the entire reason for the referral, and I keep it.
§ 05 Clinical scope