What to expect
01: Complete a short screening
Start by answering a few questions to help us make sure Pivot is the right level of care for you.
02: Complete your paperwork
Next, you’ll complete your consent forms and provide your insurance and payment information.
03: Book your first appointment
Then, you’ll receive a link to schedule your first appointment with your Pivot clinician. All first appointments are virtual.
04: Meet your clinician
Your first appointment is a chance for you and your clinician to talk about what’s bringing you in and make sure it feels like the right fit on both sides.
Pivot is in network with:
First Choice Health Network
Blue Cross Blue Shield
MODA
PacificSource Health Plans (commercial)
Aetna
Samaritan
Providence
Pivot is not currently accepting Medicare or Medicaid.
Out-of-network insurance
If Pivot is not in-network with your insurance plan, we can provide a superbill for you to submit for possible out-of-network reimbursement.
Self-pay
Self-pay rates are available for clients without insurance, those who choose not to use their in-network benefits, and those with out-of-network plans.
​
For current rates contact billing@pbh.health
Payment
Credit cards and HSA cards are accepted.
Insurance & Fees
Important information before your first appointment
All first appointments take place online via Zoom, and you must be physically located in Oregon.
​
Most ongoing appointments are also virtual, although your clinician may ask to see you in person. If you’re prescribed a controlled substance, you’ll need an in-person appointment before your first prescription. Pivot has offices in Eugene, Bend, and Portland.
Because mental and physical health are connected, all Pivot clients need a primary care or medical provider they see every 1–2 years for an in-person exam. Your clinician may communicate with other providers involved in your care and will ask you to sign a release when needed.
Appointments must be cancelled at least two business days in advance. Late cancellations and missed appointments are subject to a $150 fee.​
If you need disability or accommodations paperwork, an ESA letter, or other documentation from your clinician, it will be completed during a scheduled appointment so there’s time to understand what you need and complete it with you.​
Your first appointment is virtual
You’ll need a primary care provider
Cancellations
Forms & paperwork
Policies
Frequently Asked Questions
Can I be prescribed medication at my first appointment?
No. Pivot clinicians do not diagnose or prescribe medication during the first appointment. Depending on your individual needs, the diagnostic process may take one to three appointments so your clinician has time to understand what’s going on before discussing treatment options.
What does an ADHD evaluation involve?
ADHD evaluations typically take two to three appointments and include questionnaires for you and an observer, followed by a conversation with your clinician about the results and ADHD criteria. If ADHD is diagnosed, you’ll talk through medication, non-medication, and therapy options.
How do virtual appointments work?
Pivot uses a HIPAA-compliant Zoom platform. You’ll receive a meeting link by email one hour before your appointment and can join from a phone, tablet, or computer with a working camera and microphone. You must be physically located in Oregon and in a private location where you can give the appointment your full attention.
How long is my first appointment?
Your first appointment is typically 60-90 minutes. If more time is needed, you may schedule another appointment to continue the conversation or give your clinician time to review additional information.
What if Pivot isn’t the right level of care for me?
If Pivot isn’t the right level of care for your needs, we’ll let you know and connect you with resources that may be a better fit. The goal is to help you find the right support, even when that isn’t Pivot.
How do I know if psychiatric care is right for me?
Psychiatric care may be helpful when you’re wondering whether your physical health could be contributing to how you feel, your symptoms are making it difficult to function day-to-day, or you want to explore treatment options beyond therapy alone.
You don’t need to know exactly what you need before reaching out. Part of the process is figuring out what’s going on and what kind of support makes sense for you.