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Frequently Asked Questions

General Care & Appointments:

  • What types of services do you offer?

We provide psychiatric evaluations and medication management, ketamine-based therapies, Spravato® (esketamine) treatment, addiction and recovery support, and Colorado medical marijuana evaluations. Services are offered as part of a thoughtful, medically supervised approach to care.

  • Do I need a referral to schedule an appointment?

In most cases, a referral is not required. Some insurance plans may have specific requirements, which our team can help review prior to scheduling.

  • What should I expect at my first appointment?

Your first visit typically includes a comprehensive psychiatric evaluation to understand your concerns, history, and goals. This allows your provider to discuss appropriate treatment options and outline next steps.

  • Do you offer telehealth appointments?

Yes. Telehealth services are available for certain appointments, depending on the type of service, clinical appropriateness, and state regulations.

Psychiatric Evaluations & Medication Management

  • What conditions do you treat?

Psychiatric care may support individuals experiencing mood concerns, anxiety, depression, trauma-related symptoms, attention or focus difficulties, and co-occurring mental health and substance-related concerns. A full evaluation helps determine the most appropriate care.

  • Do you prescribe medication at the first visit?

Medication decisions are made on an individual basis following a comprehensive evaluation. Prescribing, if appropriate, is guided by clinical judgment, safety considerations, and shared decision-making.

  • Is medication the only treatment option?

No. Medication is one tool among many. Treatment plans may include medication, non-medication approaches, referrals, or additional services depending on individual needs.

Ketamine & Spravato® Treatments

  • What is the difference between ketamine and Spravato®?

Spravato® (esketamine) is an FDA-approved medication administered under specific REMS guidelines. Other ketamine-based treatments differ in formulation, regulation, and clinical structure. Your provider can help determine which options, if any, may be appropriate.

  • Is ketamine therapy safe?

When provided in a medically supervised setting with appropriate screening and monitoring, ketamine-based treatments can be administered safely for certain individuals. Safety is central to all services offered at our clinic.

 

  • Can I drive myself home after ketamine or Spravato® treatment?

No. Transportation arrangements are required following treatment sessions due to potential temporary effects on alertness and perception.

Addiction & Recovery Support

 

  • Do you offer addiction treatment?

We provide addiction and recovery support focused on safety, stabilization, and recovery-oriented care. Services may include evaluation, medication-assisted treatment when appropriate, psychiatric care, and coordination with community resources.

  • Is your approach abstinence-based?

Our approach is individualized and may include harm-reduction and recovery-oriented strategies. Treatment planning is guided by clinical assessment and patient goals.

Colorado Medical Marijuana Evaluations

  • Do you prescribe or dispense medical marijuana?

No. Our clinic conducts medical evaluations to assess eligibility under Colorado guidelines. We do not dispense or sell marijuana products.

  • Is certification guaranteed?

No. Certification is not automatic and is determined through a clinical evaluation in accordance with state requirements.

  • Is insurance accepted for medical marijuana evaluations?

Medical marijuana evaluations are typically self-pay and not covered by insurance. Payment details are reviewed prior to scheduling.

Insurance, Billing & Scheduling

  • Do you accept insurance?

We accept Medicare and certain commercial insurance plans. Coverage varies by service and plan. Our team can help review your benefits prior to your appointment.

  • What if my insurance does not cover a service?

If a service is not covered, self-pay options may be available. Financial considerations are discussed before treatment begins.

  • How do I schedule an appointment?

Appointments can be requested through our online scheduling page. Our team will follow up to confirm details and next steps.

Safety & Emergencies

  • What if I am experiencing a mental health emergency?

If you are in immediate danger or feel unsafe, please call 911 or go to the nearest emergency department.
You may also contact the 988 Suicide & Crisis Lifeline by calling or texting 988 for 24/7 support
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Closing Note 

If you have additional questions or are unsure which services may be appropriate, our team is available to help guide you during the scheduling and evaluation process.

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©2026 by Dominick All-Heart Wellness Center.

Specializing in psychiatric care, ketamine therapy, Spravato® treatment, addiction support, and medical marijuana evaluations in Durango, Colorado, with telehealth services available in Colorado and New Mexico.

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