For primary care
Your patient stays in your care. We handle the psychiatric medication management.
An Oregon-based telehealth psychiatric practice, made for primary care providers who want direct communication and access to the prescriber. Cash pay at launch. We offer superbills that can be submitted for out-of-network reimbursement. You will hear back within one business day.
Accepting new patients statewide
When to refer
- Treatment-resistant depression after adequate first-line trials.
- Suspected bipolar II, cyclothymia, or mood instability requiring specialist differential.
- Patients who need a structured, supervised medication 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 stays in coordination with you.
Our scope
We're built for
- • Depression: major, treatment-resistant, grief-related
- • Anxiety: generalized, panic, social, perimenopause-related
- • OCD, including treatment-resistant presentations
- • PTSD: single-event, complex, moral injury
- • ADHD: full 60-minute evaluations with PDMP review
- • Bipolar II and cyclothymia: continuity and lab monitoring
- • Deprescribing and supervised medication tapers
- • 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 how we stay in touch.
Direct access to the prescriber, within one 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.
Call about a shared patient, any time something changes.
Medication questions, a warm handoff, or a plan that needs adjusting. Phone calls answered or returned within one business day.
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 short 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, questions about fit or medications, or anything easier to talk through. Return call within one business day.
(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 →What happens next
- 1. We confirm receipt of your referral within one business day.
- 2. Your patient books a first visit at a time that works for them, from the open slots in our calendar.
- 3. Direct coordination with you within one 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 Meredith Galvin, PMHNP-BC, by video for 60 minutes. She'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 →