PRACTICE & Policies


Dr. Spencer does not participate with any insurance plans and cannot bill them directly.  Charges are due the day of service regardless of your insurance status. 

If you have medical insurance, it is your responsibility to file all claims for reimbursement for an out-of-network service with your insurance company. Call your insurance company to determine your benefits and to obtain a pre-authorization. Dr. Spencer will be happy to assist you by supplying you with an invoice at the time of each service. This invoice will contain the pertinent information required by your insurance carrier (diagnosis code, treatment code, date of service, etc.). Dr. Spencer has opted-out of Medicare; therefore, those individuals with Medicare who wish to see him must sign an agreement that states that they will not submit claims to Medicare. 


All services are provided by appointment only. 

The initial appointment, a 60-minute session, is scheduled following a brief conversation by phone.  Follow-up appointments are either 45-minute sessions or 25-minute sessions. 25-minute appointments are reserved for medication management. Brief phone calls are an ordinary part of treatment and are not subject to additional fees. However, phone calls longer than 5 minutes will be billed at the normal hourly rate.  At a minimum, on-going patients are to be seen every three months. 

Single consultations for a second opinion are 120 minutes long and require all prior records to be obtained by the patient and provided to Dr. Spencer at least two business days prior to the consultation.  The consultation includes review of patient records, a comprehensive evaluation, and a typed report to the referring physician with recommendations. An optimal evaluation includes the input of a trusted informant, such as a parent, spouse, sibling, adult child, or friend; the presence of one such informant is encouraged.

If you are late for an appointment, you will be seen for the remainder of your scheduled time and charged for the full session as scheduled.  If you are unable to keep an appointment, please give 48 hours advance notice. Appointments cancelled with less than 48 hours notice and appointments missed without notice will be billed at the regular rate for the time that was reserved for you.


All spoken and written information related to your care is held in strictest confidence. Dr. Spencer will not provide information to a third party without your written consent, except when required by law. These legal exceptions include risk for harm to yourself or others, child abuse, or court-ordered subpoenas.  

Should you wish for me to release information to a third party, please request an "Authorization to Receive or Disclose Private Health Information (PHI)” form.

Your private health information will only be stored or transmitted via applications that comply with HIPAA regulations. Dr. Spencer uses Google Suite for Business with HIPAA/BAA waiver for email and Simple Practice for calendar, billing, contacts, and document storage. Electronic facsimile service is via Scrypt/sFax has also been certified as HIPAA compliant. Dr. Spencer's office phone is an encrypted mobile device. Maintaining your privacy and confidentiality is a top priority.


Fees are consistent with other psychiatrists practicing in the area. Please contact the clinic to discuss the fee schedule.

All charges are due the day of service and payable by cash, check, or credit/debit. Visa, MasterCard, Discover, and American Express are accepted.  Checks should be made payable to “Lee Spencer, M.D., PLLC.”  There will be a processing charge for returned checks.

Fees are scheduled to change every two years. You will be given at least 30 days notice before the rates change.