Effective Date: 02/20/2026

At Solidarity Mental Health, PLLC medication management is provided as part of a comprehensive psychiatric treatment plan. The following policies ensure safe, ethical, and legally compliant prescribing practices.

1. Treatment Philosophy

Medication may be prescribed when clinically appropriate to support treatment goals. Prescribing decisions are based on:

• medical and psychiatric history

• clinical evaluation

• safety considerations

• evidence-based guidelines

• state and federal regulations

2. Prescription Refill Policy

To ensure continuity of care:

• Refill requests must be submitted at least 3 business days in advance.

• Refills are processed during business hours only.

• Appointments may be required before refills are authorized.

• Missed appointments may delay refills.

Early refills are not guaranteed.

3. Pharmacy & Medication Issues

Patients are responsible for:

• providing accurate pharmacy information

• contacting the pharmacy first for refill status

• notifying the practice of pharmacy changes

If a prescription issue arises at the pharmacy, patients may contact the practice through the designated patient communication channel.

4. Controlled Substances Policy

Controlled substances (including stimulants, benzodiazepines, and certain sleep medications) require careful monitoring and may be prescribed when clinically appropriate.

Patients receiving controlled medications agree to:

• use one designated pharmacy

• take medications only as prescribed

• not share, sell, or misuse medications

• safeguard medications to prevent loss or theft

Lost, stolen, or damaged controlled medications may not be replaced.

5. Monitoring & Safety Requirements

To ensure safe prescribing, the practice may require:

• periodic follow-up appointments

• prescription monitoring program (PMP) review

• urine drug screening when clinically indicated

• identity verification for controlled substances

Failure to comply with safety requirements may result in medication changes or discontinuation.

6. Telehealth Prescribing

Medications may be prescribed via telehealth when permitted by federal and Washington State law.

Certain medications may require:

• additional identity verification

• in-person evaluation

• coordination with local providers

7. Medication Changes & Side Effects

Patients should promptly report:

• significant side effects

• adverse reactions

• worsening symptoms

• concerns about medication effectiveness

For urgent medication reactions, seek immediate medical care.

8. After-Hours & Emergencies

This practice does not provide emergency services.

If you experience:

• severe medication reactions

• thoughts of self-harm

• medical emergencies

Call 911 or go to the nearest emergency room.

9. Non-Adherence & Safety Concerns

The practice reserves the right to modify or discontinue prescribing if:

• medications are misused

• safety concerns arise

• follow-up care is not maintained

• treatment recommendations are not followed

10. Patient Agreement

By receiving care through Solidarity Mental Health, patients acknowledge understanding and agreement with this medication policy.