Adult ADHD care for Marin residents.

Telehealth-first care from Dr. D for California adults in Marin: one doctor, secure texting with the practice, pharmacy support, and follow-up between visits.

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Local Context

Care that fits Marin

Marin sits north of the Golden Gate. Commutes into the city, professional and creative work running on a North Bay rhythm, and family schedules pulled across counties make adult ADHD care that fits into Spruce, not into a clinic visit, the easier choice.

Care is built for adults in Marin: professionals working hybrid into the city, parents managing kids' schedules across the county, freelancers and small-business owners, and adults who tried impersonal telehealth ADHD services and want a real practice instead.

Local Note

What Marin weeks actually look like

A practical detail, not a marketing line.

Bridge traffic is the part of the Marin week most people would rather not spend on a clinic visit. Telehealth visits fit between cross-bridge commutes and family pickups; between-visit care lives in Spruce, not in a downtown San Francisco waiting room.

Pharmacies up the Marin coast vary in schedule II stock week to week. The team coordinates substitutions with pharmacies in San Rafael, Mill Valley, Novato, and farther up the county so care does not pause when a single location is out.

Telehealth Fit

Why telehealth, carefully

Old-school private practice judgment. New-tech access.

Telehealth through Spruce means you do not cross the bridge for a 30-minute appointment. Dr. D meets you on a secure call. The team handles pharmacy and authorizations between visits, including pharmacies up the coast.

One doctor who stays involved. Dr. D follows up first, treats ADHD as care, and keeps the practice small enough that you are known by name, not by ticket number.

NorCal ADHD is telehealth-first. No walk-in clinic. Scheduled in-person care can be arranged in select Northern California locations when clinically needed. California residents only. See what this practice is not.

What's Included

How care actually works

A first appointment, then ongoing care through Spruce.

24/7 secure texting with the practice. Guaranteed reply within 24 hours. Real proactive follow-up from Dr. D after care begins. Not an emergency service.

Pharmacy red tape handled. Stock checks, substitution options, prior authorizations, and dose or formulation options when appropriate.

First-in-class treatment when appropriate. Dr. D follows you closely and helps keep care safe, informed, and optimized.

One doctor, one team, one standard of care. No rotating providers, no investor playbook.

Intake

Six steps from Marin

Start at the first appointment. Continue through Spruce if care begins.

Step 01 Choose a first appointment.

Step 02 Pay $50 to reserve.

Step 03 Share pre-visit history in Spruce.

Step 04 Meet with Dr. D on a secure call.

Step 05 Begin care if appropriate.

Step 06 Continue through Spruce.

Cost

Simple private-pay pricing

Four numbers. Superbills provided.

$50 to reserve your first appointment.

$199 charged after the appointment if care begins.

$249 total start-of-care cost, including the first appointment, activation, and first 4 weeks of care.

$99 every 4 weeks for ongoing care after that.

NorCal ADHD is an out-of-network private practice. Patients pay directly. Superbills are provided for possible reimbursement. Insurance is required. NorCal ADHD does not bill insurance directly.

See /pricing/ for the full breakdown and insurance and superbills.