Our hours of operation are 8:30am-4:30pm Mon-Fri: We are closed during lunch every day from 12-1pm. If you call during lunch or outside normal business hours, our phones will roll over to an answering service that can take a message from you if you need to speak to the doctor on call. Standard business, such as making or changing or cancelling an appointment, requesting a prescription refill, making a payment, or billing questions, must be handled by a staff member during normal business hours.

We are currently accepting new patients for psychiatry/medication management with Medicaid.  We are unable to accept any new patients for therapy/psychological testing with Medicaid at this time; this includes the new managed care plans. Please contact Vaya Health and locate a Medicaid provider that is accepting new patients. Their phone number is 1-800-849-6127.

Currently, we are accepting new patients by referral. Please have your primary healthcare provider fax a referral to 828-250-0890. This referral should include your full demographics (name, date of birth, address, phone number, etc.), your insurance information, the reason you need to be seen, and any pertinent medical records or notes that may assist our doctors in providing you with the best possible care, as well as a list of your current medications.   Alternately, you can chose to self refer by using the Self Referral Form available on our New Patient page, and submitting the required information either by fax, mail, e-mail, or dropping it off at the office.**Not all referrals are accepted for various reasons. If your referral has been denied, we will notify the referral source via fax.

Three (3) days before your scheduled new patient appointment you will receive a text and e-mail with a request to confirm and complete the neccessary new patient paperwork ahead of your appointment.   The paperwork can take between 20 and 30 minutes to complete, so it is recommended to complete this ahead of time.   You will need your insurance card and driver’s license when you fill out the paperwork.  For the appointment itself, please have a list of your current medications and any pertinant medical history that may be relevant to your specific care needs.  If the new patient is a minor (under 18 years of age), please be sure there is a parent or legal guardian present for the initial appointment.  

There are a few ways to request a medication refill:

1. At your regularly scheduled doctor appointment. Please try to have all of your medications refilled while you’re in with the doctor so you don’t need to request refills.
2. Request a refill through the patient portal at least 5 business days before you run out.
3. If you do not have access to the portal, call our office and follow the prompts for the prescription refill line at least 5 business days before your prescription runs out. **Some medications are unable to be refilled directly to your pharmacy and may require a trip to our office to pick up a written prescription. There may be an early refill fee of $20 per medication applied for this. This fee can be avoided if you make sure that your medications are refilled during your scheduled appointment.

There is a charge for prescription refills submitted outside of scheduled appointment times.  The charge covers your provider’s time spent reviewing your chart, assessing the medical necessity of the prescription refill request, and documenting the service being provided.  This fee can be avoided if you make sure that your medications are refilled during your scheduled appointment. 

We adhere to strict HIPAA confidentiality laws for your protection as a patient of The Pisgah Institute. If you want any other person to be able to make or cancel appointments on your behalf and you are over the age of 18, please fill out the “Appointment Consent” form and a staff member will update your account. This consent does not give The Pisgah Institute permission to discuss anything clinical – it is to make or cancel appointments only. There is a separate consent form for prescription refill requests.

The easiest way to make a payment is to use the link on our website (see the top menu of this page) that says “Make a Payment”. Alternatively, you can call our billing department and we can take a credit/debit card over the phone. You can also mail in a payment; however, this is the slowest way and may take us some time to update your account.  To ease the check in process in the future, you may also elect to put a credit or debit care on file for your copays.