For primary care
Your patient stays in your care. We handle the psych meds.
A dedicated telehealth psychiatric nurse practitioner practice for Oregon primary care teams. Cash-pay at launch, with superbills for out-of-network reimbursement. Direct access to the prescriber, with coordination back by the next business day.
Accepting new patients statewide
When to refer
- Treatment-resistant depression after 1–2 adequate SSRI/SNRI trials.
- Suspected bipolar II, cyclothymia, or mood instability requiring specialist differential.
- Chronic benzodiazepine use where the patient needs a structured, supervised taper.
- OCD, PTSD, or ADHD requiring a 60-minute psychiatric evaluation and ongoing management.
- Perimenopause-related mood changes where the psychiatric picture deserves dedicated time.
- Your patient has asked for a specialist evaluation and you want a prescriber who will actually get back to you and stay in coordination.
Our scope
We're built for
- • Depression: major, treatment-resistant, grief-related
- • Anxiety: generalized, panic, social, perimenopause-related
- • OCD: higher-dose SSRI management in scope
- • PTSD: single-event, complex, moral-injury
- • ADHD: full 60-minute evaluations with PDMP review
- • Bipolar II and cyclothymia: continuity and lab monitoring
- • Benzodiazepine taper management
- • Insomnia driven by anxiety, depression, or perimenopause
We'll send back for
- • Acute suicidality requiring higher level of care
- • Primary substance use disorders: coordinated referral to SUD specialist
- • Active psychosis requiring in-person stabilization
- • Complex medical comorbidities outside outpatient psych scope
- • Situations where an in-person psychiatric evaluation is clinically required
You keep managing everything else. Primary care stays with you.
What we promise back
When you refer a patient to us, here's what you get back, on a specific cadence, through a specific channel, without surprises.
Direct access to the prescriber, by the next business day.
When you need to talk about a shared patient, you reach Meredith herself, not a call center or a portal ticket. Coordination happens the way that works for your practice.
Urgent coordination response within 1 business day.
Phone line answered or return-called the same business day for urgent concerns about a shared patient.
Coordination-with-consent is the default.
Your care plan is the anchor. We align the psychiatric piece to it rather than running a separate track.
How to refer
However works for you. There's no required form and no wrong way to reach us: a two-line email with the patient's name, best contact, and what's going on is plenty, or use the one-pager if you prefer it. We'll take it from there.
Send the patient's name, best contact, and what's going on. A few lines is plenty; attach the form or relevant records if you have them.
meredith@c2chealthgroup.com →Call
A warm handoff, clinician-to-clinician questions, or urgent coordination. Same or next-business-day return call.
(503) 461-4005 →Fax
Fax the form or a short summary to our secure line. Good for practices that refer by fax.
(503) 374-9253 →Prefer a form?
Our one-pager covers everything we need. Fill it out and send it back by email or fax. Entirely optional.
Download the referral form →Coordination runs through HIPAA-secure, BAA-covered systems.
What happens next
- 1. We confirm receipt of your referral within 1 business day.
- 2. Your patient is contacted to schedule. First visits typically available within 2 weeks.
- 3. Direct coordination with you by the next business day after the first visit, and whenever the plan changes.
Your prescriber
Meredith Galvin, PMHNP-BC, is the founding provider at Coast to Coast Health Group. She came to prescribing after thirteen years in social work and ten years in psychiatric nursing, including inpatient psychiatry and emergency psychiatric assessments at Duke Regional Hospital, and psychiatric case management in home health. She treats patients across Oregon by telehealth.
One reason she started the practice: too many primary care clinicians couldn't find a psychiatric prescriber who would call them back or stay in the loop. Being reachable is built into how this practice runs. This page is that commitment, in writing.
Common questions from referring PCPs
Will my patient stay in my care?
How fast will I hear back?
Do you accept insurance?
My patient is in a rural county with no local psychiatrist. Can you really help?
Share this with your patient
If you're reading this because your doctor referred you, here's what a first visit looks like. You meet with a psychiatric nurse practitioner by video for 60 minutes. They'll ask about what's been going on, what you've tried, and what you're hoping for. Medication is one option, not a foregone conclusion. Our first visit is $400; follow-ups are $250. We are out-of-network with all insurance plans, and we provide superbills for possible out-of-network reimbursement on commercial plans. We are not able to see Medicare or Medicaid (Oregon Health Plan, or OHP) members.
Your primary care doctor stays your primary care doctor. We coordinate with them on the medication side, with your consent.
Book a first visitOr learn more about what to expect at your first visit.
Ready to refer?
Download the referral form, call us, or (if you were referred here as a patient) book a first visit directly.
Were you referred to this page as a patient? Book a first visit →