The questions we hear most.

Visit /book/, pick an open time on the calendar, and pay the $50 deposit to reserve. You then complete a pre-visit history through Spruce before the appointment.

$50. That reserves your first appointment with Dr. D. The deposit applies toward the $249 start of care if care begins after the appointment.

The calendar reserves a 90-minute slot. The actual visit length depends on what the appointment needs; some first visits finish closer to 30 minutes, and some take most of the window. Dr. D listens, asks real questions, and decides next steps with you.

NorCal ADHD is telehealth-first. The first appointment runs on a secure call through Spruce.

Cancel or reschedule at least 48 hours before the appointment to recover the deposit. Cancellation terms are shown again during booking.

$249 total start of care. That includes the first appointment, activation, and the first 4 weeks of care. Your $50 deposit applies toward the $249.

$99 every 4 weeks. Care is charged by visit cadence (28 days), not by calendar month, so charge dates shift forward by about a month per year.

No. NorCal ADHD does not bill insurance directly. Patients pay the practice directly, and we provide superbills for possible out-of-network reimbursement.

ADHD care can involve labs, primary care coordination, pharmacy requirements, medication authorizations, and other medical needs outside of NorCal ADHD. Insurance keeps that broader care available.

Reimbursement depends on your plan. NorCal ADHD provides itemized superbills you can submit. We cannot guarantee reimbursement.

The $199 after-visit charge is not made. The $50 deposit is non-refundable except when cancelled at least 48 hours before the appointment.

Spruce is the HIPAA-secure messaging app NorCal ADHD uses for all care between visits. You message the practice 24/7; the team routes to Dr. D when his attention is needed. NorCal ADHD is not an emergency service.

Guaranteed reply within 24 hours, every day. Real-time chat is not promised.

Dr. D messages first after care begins. Proactive follow-up is part of how the practice runs, not an upsell.

If something needs attention before the next visit, Dr. D can often make room for a squeeze-in. This is a clinical decision, not an on-demand booking.

Stock checks, substitution options, prior authorizations moved forward quickly, dose or formulation options when appropriate, and old-school doctor-pharmacist relationships when phone calls move things faster. Pharmacies can fax pharmacy paperwork to (510) 405-6147.

California adults who want a doctor who stays involved, can use Spruce for secure messaging, have insurance, and are willing to participate honestly in care.

Adults looking for medication-on-demand, anyone under 18, anyone outside California, anyone unwilling to use Spruce, and anyone wanting concierge access without the cost of a private practice.

Yes. NorCal ADHD is one doctor and one team, not a venture-backed telehealth product. Dr. D sees every patient himself, stays involved between visits, and runs a small enough practice to remember the details that matter.

No. The first appointment is an evaluation. Dr. D will work with you whether or not you have been diagnosed before.

NorCal ADHD treats California residents only. Telehealth is regulated by where the patient is located, not by where the practice is based.

No. NorCal ADHD is not an emergency service. If you are in crisis or need urgent medical help, call 911 or seek emergency care. Spruce is not monitored for crisis triage.

Dr. D is a primary care physician who has built deep expertise in adult ADHD. He refers out when another setting is the right path.

Care decisions are clinical and made together with Dr. D. Prior prescriptions are not automatically continued.

The first appointment is an evaluation. Dr. D listens, asks real questions, and decides next steps with you.

No. NorCal ADHD does not operate walk-in clinics. Care is telehealth-first, and Dr. D can arrange scheduled in-person appointments in select Northern California locations when clinically needed.