For therapists
When your client needs medication, you get a real collaborator who stays in the loop.
A dedicated telehealth psychiatric nurse practitioner practice for Oregon therapists who want specific cadence, clear scope, and direct access to the prescriber.
Accepting new clients statewide
Send us a client when…
- Your client has plateaued after multiple courses of psychotherapy and symptoms are still significantly impairing.
- Prior medication worked and your client is asking to revisit pharmacology alongside therapy.
- You suspect bipolar-spectrum, psychotic features, or severe OCD requiring higher-dose SSRI management.
- Strong family psychiatric history and your client wants a specialist evaluation.
- A client has asked you directly whether medication might help and you want a prescriber who will take the time to answer that question honestly.
Our scope
We're built for
- • Anxiety: generalized, panic, social, perimenopause-related
- • Depression: major, treatment-resistant, grief-related
- • OCD: including higher-dose SSRI management and ERP coordination
- • PTSD: single-event, complex, moral-injury
- • ADHD: full 60-minute evaluations
- • Bipolar II and cyclothymia: continuity and lab monitoring
- • Insomnia driven by anxiety, depression, or perimenopause
- • Medication management across Oregon, by telehealth
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
When scope isn't a fit, we tell you early and help identify an appropriate handoff.
What we promise back
When you refer a client 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 client, 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 client.
Coordination-with-consent is the default.
Treatment goals are aligned with your care plan, and you'll always know where your client's treatment stands.
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 client'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 client'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 anything easier to talk through. 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 client 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 worked at Duke Regional Hospital in inpatient psychiatry, and brings thirteen years of prior social work experience to a practice that treats patients across Oregon by telehealth.
One reason she started the practice: too many clinicians couldn't find a 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 therapists
Will my client be triaged by an algorithm or matched to whoever has an opening?
How fast will I hear back after a visit?
Will you talk to me about my shared client's treatment plan?
Share this with your client
If you're reading this because your therapist sent you the link, 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 (upon request) 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 therapist stays your therapist. 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 forwarded this page as a client) book a first visit directly.
Were you forwarded this page as a client? Book a first visit →