Frequently Asked Questions

Learn about psychiatric care for adults, in-person visits in Kill Devil Hills, and telehealth throughout North Carolina

Clear answers to help you feel prepared

Getting Started

  • Causeway provides outpatient psychiatric care for adults age 18 and older, including older adults. We work with individuals seeking support for concerns such as depression, anxiety, trauma-related symptoms, mood changes, and sleep difficulties.

  • You will meet with Nina Hoaglund, MSN, PMHNP-BC, a board-certified Psychiatric-Mental Health Nurse Practitioner. Care is personalized and collaborative, with time to discuss your concerns, treatment options, and goals.

  • In-person appointments are held at 113 E. Sothel Street, Suite 3, Kill Devil Hills, NC 27948. Appointment availability and arrival instructions will be discussed during scheduling.

  • Complete the Request an Appointment form or call (252) 659-5133. Causeway will follow up to discuss your needs, availability, and whether our services are a good fit. Please provide contact information only on the public website form.

  • No. The form is a new patient inquiry. Appointment details and required registration steps will be confirmed directly with you.

  • We will discuss your concerns, symptoms, medical and mental health history, current medications, and treatment goals. Together, we will develop a personalized plan that may include medication, education, monitoring, or referrals. Visit What to Expect for more details.

  • Have a current list of medications, supplements, allergies, and your preferred pharmacy available. Bring questions and any relevant treatment records requested by the practice. Required registration forms must be completed at least 24 hours before your appointment.m description

  • Contact Causeway before the paperwork deadline so we can discuss assistance or paper-form options. Appointments with incomplete required paperwork at the 24-hour deadline will be cancelled and may be requested again once the forms are complete.

Services and Treatment

  • Causeway focuses on psychiatric evaluations and medication management rather than ongoing psychotherapy appointments. Visits may include supportive discussion, education, and practical recommendations. When helpful, we can recommend working with a therapist alongside your psychiatric care.

  • Treatment recommendations are individualized. We will discuss potential benefits, risks, and alternatives, and you may ask questions or decline a recommendation. An evaluation does not automatically result in a prescription.

  • We can review your current treatment and relevant records. Continuing a medication depends on the evaluation, safety considerations, monitoring needs, and whether it is appropriate for your care. A previous prescription does not guarantee continuation.

  • Controlled medications are considered only when clinically appropriate and legally permitted. Additional records, monitoring, a treatment agreement, testing, or an in-person evaluation may be needed. Scheduling an appointment does not guarantee a specific medication.

  • Follow-up timing depends on your symptoms, treatment plan, medication changes, and monitoring needs. We will discuss an appropriate schedule together and adjust it as your needs change.

  • Yes. Coordination with other treating professionals may be part of your care. We will discuss what information is helpful to share and obtain authorization when required.

  • Causeway does not currently provide primary substance-use-disorder treatment, detoxification, inpatient care, or intensive outpatient programs. If your needs require services beyond our outpatient scope, we will discuss appropriate referrals.

  • Requests are reviewed individually under the practice’s forms policy. Completion depends on the purpose of the form, available clinical information, and whether the request is within our scope. Completion is not guaranteed, and any separate fee will be discussed before work begins.

Telehealth and Communication

  • Yes. Telehealth is available for appropriate outpatient psychiatric care while you are physically located in North Carolina. Some concerns or treatment plans may require an in-person evaluation.

  • Causeway currently requires you to be physically in North Carolina for every telehealth appointment. Contact the practice before your visit if you will be out of state so we can discuss rescheduling and continuity of care.

  • Choose a private, quiet location with a reliable internet connection and a device that supports video and audio. Have your medication list available. You will be asked to confirm your current location and callback number. Please do not join while driving.

  • Use secure messaging through Spruce for clinical questions, medication requests, and other patient-related communication. Use Charm Health for registration forms and patient portal tasks as directed. General email and the public website form should not be used to send medical, insurance, or payment details.

  • Causeway generally aims to respond to routine messages within one business day, but response time is not guaranteed. Messages are not continuously monitored. Questions requiring a clinical assessment or treatment change may require an appointment.

  • Send your request through secure messaging at least five business days before you run out. Refills are processed during business hours and may require a follow-up appointment or monitoring. Early refills and replacement of lost, stolen, or damaged medication are not guaranteed.

  • Causeway does not provide emergency or 24-hour crisis coverage. If you or someone else is in immediate danger, call 911 or go to the nearest emergency department. For suicide or emotional crisis support, call or text 988. Do not wait for a response through email, voicemail, the website, or secure messaging.

  • Please discuss any proposed audio recording, video recording, or transcription before the visit begins. Causeway asks everyone who would be recorded to agree in writing beforehand. If you need help remembering the discussion, you may request written instructions or a visit summary.

Fees & Appointment Policies

  • The self-pay rate is $275 for an initial psychiatric evaluation and $150 for a follow-up medication-management visit. Visit fees do not include charges from outside providers, pharmacies, or laboratories. See our Fees & Insurance page for more information.

  • Insurance participation is being finalized. Please contact Causeway to confirm current network status and payment options before scheduling. Participation may vary by plan, and payment arrangements will be discussed before your visit.Item description

  • Causeway does not currently provide superbills for out-of-network reimbursement. Insurance reimbursement is not guaranteed. Please confirm current billing options with the practice before scheduling.m description

  • A valid credit or debit card must be securely on file before booking, with a completed payment authorization. For self-pay visits, payment is charged on the morning of the appointment. If the card is declined or invalid, the appointment will be cancelled, and you will be asked to update the card before requesting another appointment.Item description

  • A Good Faith Estimate is a written estimate of expected healthcare charges for eligible uninsured or self-pay patients. You may request one before scheduling. Visit our Good Faith Estimate Notice page to learn more about your rights and how to request an estimate.

  • Please provide at least 24 hours’ notice to cancel or reschedule without a cancellation fee. Cancellations with less than 24 hours’ notice may incur a $50 fee. A missed appointment without notice may incur a $100 fee. A one-time courtesy waiver or an exception for unavoidable circumstances may be considered under the practice policy.

  • A late arrival may shorten your visit or require rescheduling. Depending on the circumstances, it may be treated as a missed appointment. Please contact the practice promptly if you expect to be late.

Causeway does not provide emergency or 24-hour crisis coverage. For immediate danger, call 911 or go to the nearest emergency department. For suicide or emotional crisis support, call or text 988.

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Still Have Questions?

Contact Causeway to discuss your next step.

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