Communication & Messaging Policy

Rising Song Behavioral Health, PLLC

Last Updated: 03/05/2026

Rising Song Behavioral Health values clear, responsive communication and encourages patients to reach out with questions, updates, or concerns between appointments. This policy outlines how communication works within the practice and what patients can expect.

Direct Communication

Patients in active treatment may communicate directly with Alicia Baird through secure messaging or phone communication as appropriate.

Unlike many practices that route messages through front desk staff or administrative systems, Rising Song Behavioral Health prioritizes direct provider communication whenever possible.

This allows for more thoughtful and responsive care.

Appropriate Uses of Messaging

Patients are encouraged to reach out between appointments for:

  • Medication questions

  • Side effects or medication concerns

  • Updates about symptom changes

  • Questions about treatment plans

  • Non-urgent clinical concerns

Early communication often allows issues to be addressed quickly and may prevent unnecessary discomfort or delays in treatment.

Response Times

Messages are typically reviewed and responded to within 1–2 business days, though many responses occur sooner.

Response times may vary during evenings, weekends, holidays, or periods when the provider is out of the office.

When Messaging Is Not Appropriate

Messaging should not be used for emergencies or urgent safety concerns.

If you are experiencing a mental health crisis, please:

  • Call 911

  • Go to the nearest emergency room

  • Contact the 988 Suicide & Crisis Lifeline

Messaging systems are not monitored continuously and should not be relied upon for urgent care.

Medication Changes

Some medication concerns can be addressed through messaging. However, in many cases, medication changes require a scheduled appointment so that concerns can be discussed thoroughly.

If an issue cannot be safely addressed via messaging, you may be asked to schedule a follow-up visit.

Boundaries Around Communication

While communication between visits is encouraged, messaging is intended to supplement — not replace — scheduled appointments.

Extended clinical discussions, complex treatment decisions, or detailed evaluations typically require an appointment.

Respectful Communication

All communication with the practice should remain respectful and professional. Harassment, abusive language, or inappropriate use of messaging systems may result in changes to communication privileges or termination of services.

Privacy

Patients should avoid sharing sensitive medical or personal information through unsecured channels such as standard email or text messaging.

Secure patient portals or approved communication platforms should be used whenever possible.

Questions

If you have questions about communication policies or how to reach the practice, please contact us.

Practice Policies & Expectations

Rising Song Behavioral Health, PLLC

Last Updated: 03/05/2026

The following policies are designed to help ensure that care at Rising Song Behavioral Health remains thoughtful, consistent, and accessible to all patients. Clear expectations allow our work together to run smoothly and support the highest quality of care.

If you have questions about any of these policies, please feel free to ask.

Appointments

Appointments are scheduled in advance and are reserved specifically for you.

Initial psychiatric evaluations are longer visits designed to allow for a comprehensive understanding of your history, symptoms, and treatment needs. Follow-up visits are typically shorter and focus on monitoring progress, medication adjustments, and ongoing care.

Please arrive on time for your appointment. If you arrive significantly late, the appointment may need to be shortened or rescheduled.

Cancellations & Missed Appointments

If you need to cancel or reschedule an appointment, please provide at least 24 business hours notice.

Late cancellations or missed appointments may be subject to a cancellation fee.

These policies help ensure appointment availability for other patients who may be waiting for care.

Medication Management & Refills

Medication refills are typically addressed during scheduled appointments.

Patients are encouraged to request refills before medications run out.

In many cases, refills require an active treatment relationship and appropriate follow-up visits. If it has been a significant period of time since your last appointment, a follow-up visit may be required before refills can be provided.

Controlled Medications

Certain medications — including stimulants and benzodiazepines — require careful monitoring and responsible prescribing practices.

If these medications are part of your treatment plan, prescribing may involve:

  • Regular follow-up appointments

  • Ongoing review of effectiveness and side effects

  • Monitoring for safety and appropriate use

  • Periodic in-person appointments, even if many visits are conducted via telehealth

These requirements reflect current medical standards and regulatory expectations designed to support safe and responsible prescribing.

In accordance with state and federal regulations, prescribing of certain medications may also involve:

  • Review of the North Carolina Prescription Drug Monitoring Program (PDMP) to monitor controlled substance prescriptions

  • Urine drug screening when clinically indicated, as part of safe prescribing practices

These measures are standard across many psychiatric and medical practices and are intended to support patient safety and responsible medication management.

My goal is to ensure that these medications — when used — are prescribed thoughtfully, safely, and in a way that supports long-term stability and wellbeing.

Early Refills, Lost, or Stolen Medications

Controlled medications must be taken exactly as prescribed.

Requests for early refills are generally not approved, except in rare circumstances where there is a clear clinical justification.

Similarly, prescriptions for lost, misplaced, damaged, or stolen medications typically cannot be replaced. Patients are responsible for safeguarding their medications.

If medications are lost or stolen, documentation such as a police report may be required before any consideration of replacement, though replacement prescriptions cannot be guaranteed.

Taking medication in a manner different from what was prescribed (such as taking higher doses, running out early, or sharing medications) may require reassessment of the treatment plan and could affect whether controlled medications can continue to be prescribed.

These policies are consistent with responsible prescribing practices and are intended to protect patient safety and comply with state and federal regulations.

Communication Between Visits

Rising Song Behavioral Health encourages communication between appointments when appropriate.

Patients may reach out with questions, medication concerns, symptom updates, or other non-urgent issues. Messages are typically reviewed and responded to within 1–2 business days, though responses may occur sooner.

Messaging is intended to support care between visits but does not replace scheduled appointments when more in-depth discussion is needed.

Emergencies

This practice is not an emergency service.

If you are experiencing a mental health crisis or medical emergency, please call 911, go to the nearest emergency room, or contact the 988 Suicide & Crisis Lifeline.

Messages sent through the website or patient portal are not monitored continuously and should not be used for urgent concerns.

Treatment Collaboration

Effective psychiatric care works best when both provider and patient are actively engaged in the process.

Patients are encouraged to:

  • Ask questions

  • Share updates about symptoms or side effects

  • Participate in treatment decisions

  • Attend scheduled appointments

  • Communicate openly about concerns

Treatment plans are most effective when approached collaboratively.

Scope of Practice

Rising Song Behavioral Health provides psychiatric evaluation and medication management services for adults.

In many cases, psychiatric care works best when combined with psychotherapy. When appropriate, coordination with therapists or referrals for therapy may be recommended.

Practice Fit

My practice emphasizes thoughtful evaluation, collaborative decision-making, and careful prescribing.

It may not be the best fit for individuals seeking rapid medication changes without discussion, stimulant or benzodiazepine prescriptions without appropriate evaluation and follow-up, or a purely medication-driven model without broader context.

My goal is long-term stability and thoughtful care.

Respectful Communication

Mutual respect is essential for a healthy therapeutic relationship.

Patients and staff are expected to communicate respectfully at all times. Harassment, threatening behavior, or abusive communication may result in termination of services.

Policy Updates

Practice policies may be updated periodically to reflect changes in practice operations, legal requirements, or clinical standards.

Questions

If you have questions about any policies or expectations, please feel free to ask. Transparency and clarity are important parts of the care process.

What You Can Expect From Me

You can expect thoughtful, careful evaluation, clear explanations about treatment options, transparency around risks and benefits, and responsive communication when questions arise.

My goal is to provide psychiatric care that is collaborative, steady, and grounded in both science and respect.