The appointment is only the beginning.
Secure texting through Spruce, guaranteed reply within 24 hours, proactive follow-up from Dr. D, and squeeze-in appointments when something needs attention.
Message the practice anytime
Spruce is the secure channel between you and the practice.
Spruce is the HIPAA-secure messaging app NorCal ADHD uses for all care between visits. Your messages reach the practice 24/7. The team sees them and routes them to Dr. D when clinical judgment is needed.
You can text the practice about pharmacy issues, side effects, refills, scheduling, and the parts of your life that are getting in the way of care. The team handles operational details so Dr. D's attention stays on the clinical work.
Guaranteed reply within 24 hours
A real reply within 24 hours, every day of the year.
Send a message any time. Spruce sends it securely to the practice and confirms receipt.
The team responds within 24 hours, every day. If the question needs Dr. D specifically, the team routes it and answers when his attention is available.
Not an emergency service. In a crisis, call 911.
Dr. D messages first
After treatment starts, Dr. D checks in to see how things are going.
Most telehealth practices wait for the patient to surface a problem. Dr. D does the opposite. After care begins he reaches out on his own to ask how the early weeks are going, whether anything is interfering, and whether the treatment is doing what you need it to do.
The work between visits is where most of care actually happens. Dr. D treats that work as primary, not secondary to the next appointment.
When something needs attention now
If care needs to move before the next scheduled appointment, it moves.
Pharmacy stock problems, prior-authorization snags, side effects, a hard week at work, a life event that throws the whole plan off. These do not wait for the next monthly visit. The practice is small enough that Dr. D can make room for a squeeze-in follow-up when one is needed.
Squeeze-in visits are clinical decisions, not on-demand bookings.
How a typical week between visits goes
Reply within 24 hours is the guarantee; real-time chat is not promised. Spruce is not monitored for crisis triage. See what this practice is not.
Care that keeps moving between visits.
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