New patients

Your first visit, step by step.

Everything you need to know before we meet: how it starts, what to bring and what the first hour looks like.

01

Free 15-minute call

A short phone or video call to check we are a good fit. No forms, no cost.

02

Evaluation

A full first visit to understand your history, symptoms and goals.

03

Your plan

A written plan in plain language: options, next steps and what to expect.

04

Ongoing care

Follow-ups, therapy or programmes, adjusted as you change.

Before you come

Options that make care possible

If cost is a barrier, tell me. We will find a way that works.

Photo ID and insurance card, if you use one

A list of current medications and doses

Names of other clinicians you see

Past records or test results, if handy

Notes on what you would like help with

Anyone you would like to bring along

Your first appointment

How insurance works here

Coverage varies by plan. Ask your insurer about out-of-network mental health benefits. I am happy to help you check.

0–10 min

Arrive and settle

A quiet room, a glass of water and a few minutes to land. We go over privacy and how the visit works.

0–10 min

Arrive and settle

A quiet room, a glass of water and a few minutes to land. We go over privacy and how the visit works.

10–35 min

Your story

What brings you in, your history, sleep, health, work and the people around you. Share only what feels right.

10–35 min

Your story

What brings you in, your history, sleep, health, work and the people around you. Share only what feels right.

35–50 min

Making sense of it

I share what I am noticing, a working diagnosis if there is one, and answer your questions plainly.

35–50 min

Making sense of it

I share what I am noticing, a working diagnosis if there is one, and answer your questions plainly.

50–60 min

A plan together

Options explained side by side, a first next step, and a time for follow-up. You leave with a written summary.

50–60 min

A plan together

Options explained side by side, a first next step, and a time for follow-up. You leave with a written summary.

Policies

The small print, kept simple

The small print, kept simple

Clear expectations make for calmer care. Ask me about anything here.

Clear expectations make for calmer care. Ask me about anything here.

Cancellation
01

48 hours’ notice

Please cancel or reschedule at least 48 hours ahead. Late cancellations are charged at half the visit fee.

Telehealth
02

Secure video

Video visits use an encrypted platform. Join from a private space in a state where I am licensed.

Privacy
03

Your records stay yours

Notes are kept confidential and shared only with your written consent, except where the law requires.

Payment
04

Superbills on request

Payment is due at each visit. I provide superbills for out-of-network reimbursement.

Chat with Dr. Marsh

Ask the doctor anything.

Pick a question or write your own. Nothing is too small to ask.

Chat with Dr. Marsh

Ask the doctor anything.

Pick a question or write your own. Nothing is too small to ask.

Chat with Dr. Marsh

Ask the doctor anything.

Pick a question or write your own. Nothing is too small to ask.

That is the most common place to begin. In the first visit we do the sorting together: what has been weighing on you, what you hope changes, and what can wait. You do not need a diagnosis or the right words.

No. Medication is one option among several, never a requirement. We talk through therapy, mindfulness and lifestyle approaches first, and any medication is a shared decision you can revisit or stop with guidance.

Yes. Most follow-ups happen by secure video, and first visits can too. We are licensed in three states, so telehealth works wherever you are within them.

Fees are listed plainly before you book, with no surprises afterwards. We accept most major insurance, and we offer a clear self-pay rate if you prefer to go without.

Yes. Your records and conversations are protected by medical confidentiality and HIPAA. Information is only shared with your written consent, or in the rare cases the law requires for safety.

About an hour of conversation. We listen to your story, ask a few clinical questions, and finish with a plain-language plan and a next step. No tests are done to you.

Got anything else to ask, don't hesitate.

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