Limitations

A urine drug screen is required before starting any controlled substance. Additional screens may be done from time to time as part of your ongoing care.

If a urine drug screen detects marijuana, alcohol, or excessive amounts of caffeine, it may affect whether a controlled substance is prescribed.

At Impact Mental Wellness, we are committed to providing safe, effective, and ethical care. The following conditions require specialized training, intensive support services, or a higher level of care that falls outside our scope of practice. To best serve our clients, we do not treat the following:

• Active self-harm or suicidal ideation
• Psychiatric hospitalization within the past 12 months
• Substance use disorders

• Anorexia nervosa and bulimia nervosa
• Other eating disorders (e.g., binge eating disorder, avoidant/restrictive food intake disorder)

•  Autism spectrum disorder
• Non-verbal learning disorders
• Mixed receptive-expressive language disorders
• Traumatic brain injury

• Borderline personality disorder
• Other personality disorders (e.g., narcissistic, antisocial)

•  Dissociative identity disorder
• Schizophrenia and psychotic disorders 
• Gender dysphoria
• Fertility and reproductive support

 Disability letters and Family Medical Leave Act (FMLA) applications are completed only for clients who have been in active treatment at this practice for a minimum of 3 to 6 months. Approval is at the full discretion of the provider. These documents require an established clinical relationship to ensure accuracy, clinical integrity, and appropriate support of your care.

Letters and forms needed for work or school are completed during your appointment to ensure accurate information. Please allow 5 to 10 business days for the letter to be completed and sent to you via the patient portal.

Forms and letters completed outside of appointments will require a fee based on the number of pages.