Care, step by step.
One first appointment with Dr. D, then ongoing care through Spruce with proactive follow-up, pharmacy support, and treatment optimization for the important things in your life.
What the first visit looks like
Dr. D listens, asks real questions, and decides next steps with you.
The first appointment is booked as a 90-minute slot with Dr. D on a secure call. Some visits finish closer to 30 minutes; some take most of the window. The goal is for Dr. D to understand your situation: how things show up at work, in relationships, in routines, and in the parts of your life that matter to you.
If care should begin, you continue together through Spruce. If something else makes more sense, Dr. D will say so.
Dr. D wants to know what's important to you. Work, family, relationships, routines, birthdays, and the details that matter become part of the care.
Honest, real talk. No scripts. No fashionable theories. Just direct conversations and clear next steps.
Care between visits
The appointment is only the beginning. Most care happens in the days between.
Secure messaging through Spruce. Guaranteed reply within 24 hours, every day. Dr. D messages first after treatment starts. Accountability checks when required. Squeeze-in follow-ups when something needs attention before the next appointment.
You can reach the practice from your phone. The team handles scheduling, pharmacy issues, authorizations, and support without disappearing into a portal. One doctor understanding you, remembering the details that matter, adjusting your care with the changes in your life.
Practical note: NorCal ADHD is not an emergency service.
Pharmacy red tape, handled
Pharmacy support by people who know how to keep care moving.
Keep care moving
- Pharmacy requirements handled by the team.
- Stock checks and substitution options handled when needed.
- Prior authorizations moved forward quickly.
- Dose and formulation options reviewed with Dr. D when appropriate.
- Old-school doctor-pharmacist relationships actively cultivated.
Treatment optimization
First-in-class treatment when appropriate.
NorCal ADHD uses old-school experience and new-tech efficiencies to safely and effectively manage first-in-class medications when they are appropriate. Dr. D follows you closely and helps keep treatment safe, informed, and optimized.
Medication, diagnosis, and prior-prescription decisions are clinical, case by case. Care depends on what is appropriate for you.
From booking to ongoing care
Six steps. Most of them quick. The middle one matters most.
- Choose a first appointment on the booking page.
- Pay the $50 deposit to reserve your time.
- Download Spruce and share your pre-visit history before the appointment.
- Meet with Dr. D on a secure call in the reserved 90-minute slot.
- If care should begin, continue together through Spruce.
- Receive proactive follow-up, pharmacy support, and treatment optimization as needed.
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