Frequently Asked Questions

Depending on current availability, it may take 1 to 3 months to be seen for your first appointment from our initial contact. 

If your symptoms are severe, please DO NOT WAIT for an appointment at Blue Sky Medical. We DO NOT offer acute treatment services and your mental health is too important to wait. In Lee County, SalusCare offers 24-hour assessments for emergency psychiatric symptoms; call (239) 275-3222 for more information. Also in Lee County, Park Royal Behavioral Health offers inpatient stabilization and intensive outpatient programs; call (844) 815-3452 for more information.

If symptoms are severe, call 911 or go to your nearest ER, call the National Suicide Prevention Lifeline at (800) 273-8255, or call the National Alliance on Mental Illness at (800) 950-6264.

Tuesday, Wednesday, and Thursday from 11am to 5pm.

All patients of Blue Sky Medical have access to an upgraded patient experience with IntakeQ.

Through your secured IntakeQ patient portal, you will be able to:

* Track and graph your symptoms

* View your current medications

* See your medication instructions

* See lab results

* Check your upcoming appointments 

* Update your credit card directly

* Change your insurance information

* Manage current balances

* Make payments

* View past invoices

Once your initial appointment is scheduled and confirmed, you will receive instructions and an IntakeQ link prior to your appointment.

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

Blue Sky Medical uses the SpruceHealth platform to provide secure patient messaging for communication. Once your initial appointment is scheduled and confirmed, you will receive instructions and a SpruceHealth link prior to your appointment.

Normal business hours to reach the nurse practitioner are Tuesdays, Wednesdays, and Thursdays 11 am to 5 pm. Any confidential questions or information can be sent through Spruce and the nurse practitioner will respond once the message is received.

Non-urgent questions will be answered during normal business hours. Should you have an urgent question/concern outside of business hours, please mark the message as “Urgent”.

*As a reminder, any and all communication is a part of the medical record; messages cannot be edited or deleted.

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

Yes. Currently, Blue Sky Medical uses Headway to process insurance claims. We are in network with:

  • United Healthcare
  • Cigna
  • Aetna
  • Oxford
  • Oscar Health

Once your initial appointment is scheduled and confirmed, you will receive an email from Headway with detailed information regarding account set-up and insurance billing/claims.

While we bill your insurance as a courtesy, we ALWAYS recommend that you check your insurance coverage to determine your expected cost. Ultimately, is your responsibility to know and understand your insurance benefits and any associated co-pays.


**To assist you in determining your cost, upon request, we can provide commonly used billing codes so that you may check with your insurance to have an estimate of the associated visit costs. Please keep in mind, the exact codes used at your appointment may differ depending on the length and complexity of the appointment. **

Blue Sky Medical DOES NOT accept Medicare or Medicaid.

Yes, Blue Sky Medical will provide a superbill, however this DOES NOT guarantee insurance reimbursement. It is your responsibility to contact your insurance company to inquire about coverage for out of network providers/services.

A PMHNP evaluates, diagnoses, and treats mental health conditions. The PMHNP also prescribes medications, provides psychotherapy, conducts physical and psychosocial assessments, provides emergency psychiatric care, and treatment effectiveness evaluations.

Initial psychiatric assessments typically require 60 minutes. Follow-up visits can require 15-30 minutes depending on the needs/preferences of the individual.

Blue Sky Medical requires 48-hours’ notice when cancelling or rescheduling. You may cancel or reschedule using the patient portal here .
We require a CC on file for insurance co-pays and cancellation fees.

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:
    • 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:
    • 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:
    • 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.

No, a referral is not required.

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.


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.

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

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