Yes. We have in-person visits on Wednesdays at our North Fort Myers office.

New psychiatric evaluations: $300

Psychiatric follow-up visits (30 minutes): $150

Psychiatric follow-up visits (15 minutes): $100

Integrative mental health care is a type of approach combining conventional treatments (“Western” medicine) with complementary or alternative treatments (“Eastern” medicine). This approach to mental wellness includes lifestyle factors such as diet, movement, and stress, as these can often be an underlying cause of illness. Similar to the biopsychosocial model, integrative mental health care assesses different factors that interact and directly impact our overall mental health.

1. Training and Education:
   • PMHNP: a nurse practitioner who specializes in mental health. They start as registered nurses and then obtain advanced training through a master’s or doctoral degree in nursing with a specific focus on psychiatric and mental health conditions.
   • Psychiatrist: A psychiatrist is a medical doctor (MD) who specializes in mental health. They first complete medical school, followed by several years of residency training in psychiatry.

1. Scope of Practice:

1. • PMHNP: able diagnose mental health conditions, prescribe psychiatric medications, and recommend psychiatric treatment plans. PMHNPs perform psychiatric evaluations and provide psychotherapy.
   • Psychiatrist: able to diagnose mental health conditions and prescribe medication. However, they often have a broader scope of practice and tend to manage complex cases and severe mental illnesses.

1. Approach to Care:

1. • PMHNP: approach care from a nursing perspective, which often emphasizes a holistic and patient-centered approach. They often utilize a whole-person approach to care which has a strong focus on the biopsychosocial factors in mental health.
   • Psychiatrist: approach care from a medical perspective, considering both the physical and psychological aspects of mental health. They are trained to diagnose and treat mental illnesses as medical conditions.

1. Collaboration:

1. • PMHNP: collaborate closely with other healthcare providers, including physicians and therapists, to ensure comprehensive care for their patients.
   • Psychiatrist: collaborate with other healthcare providers but may have a more central role in the management of complex mental health cases.

We use methods derived from Cognitive Behavioral Therapy (CBT), Spiritual Psychotherapy, Humanistic Psychology, and Interpersonal Therapy.

If the cancellation occurs more than 48 hours from the appointment, no cancellation fee will occur. If the cancellation occurs less than  48 hours from the appointment a $150 cancellation fee will be assessed to the credit card kept on file.

Fullscript is the online dispensary that Blue Sky Medical utilizes to prescribe high-quality natural health and wellness products, supplements, and herbs. FullScript carries over 400 professional-grade supplements and access is available to everyone.

https://us.fullscript.com/welcome/blueskymedical

Medication refill requests are to be submitted through your Spruce account. Blue Sky Medical requires 2 business days to process medication refill requests. Refills are sent on days the nurse practitioner is in the office (Tuesday, Wednesday, Thursday). To ensure your medication refills are efficiently processed, please provide the medication and the pharmacy in your refill request. Once the medication refill has been sent to your pharmacy, you will receive a confirmation message through Spruce.

If you have any problems submitting a refill request through Spruce, you may call our office at (239) 230-2000 and leave a message under refill requests.

**Please keep in mind, medication refills are contingent upon the current treatment plan established between you and the nurse practitioner. An appointment may be required before a medication refill is provided.**

Blue Sky Medical uses Zoom for Healthcare for all telehealth appointments. Once your initial appointment is scheduled and confirmed, you will receive instructions and a Zoom link prior to your appointment.

When using Zoom, please ensure you have a stable internet connection and have allowed access to your video and audio components. Please login to Zoom about 5 to 10 minutes before your appointment time. When the nurse practitioner initiates the video call, you will receive a notice or banner as it rings.   

The link below is for established patients with an existing Zoom account.

https://zoom.us/signin#/login

Lady is our Black Mouth Cur and Maggie is our Fox Hound/Husky mix. We also have a calico cat, Lucy.