About Our Group


Alamo Mental Health Group is a private mental health care group dedicated to providing quality services to children, adolescents, and adults. Our goal is to provide the best individualized treatment possible. To meet this goal, Alamo Mental Health Group staffs licensed psychiatrists, psychologists, and a team of highly skilled professional counselors.

We believe the best healthcare is based on friendly, respectful cooperation and mutual understanding between our support staff, providers, and patients.  We appreciate you choosing Alamo Mental Health Group for your mental healthcare needs and look forward to working with you.  The following information should assist you in better understanding our office policies and procedures.  If you have any questions or concerns, please discuss them with our office staff or you specific provider. 


Business Hours

General office hours are Monday through Friday, 8:00 a.m. to 5:00 p.m. Early evening and limited weekend appointments are available with some providers. Please check with our staff for specific schedules of our providers.


Appointment Length

Appointments may be of varying lengths, depending on the service and nature of your problem. The following are guidelines:

  • Individual psychotherapy appointments are generally 45 minutes
  • Group therapy appointments are generally from 50 to 80 minutes
  • Family therapy sessions are generally 45 to 50 minutes
  • Medication evaluations are generally 20 to 50 minutes
  • Medication follow-up appointments are generally 15 to 30  minutes


Office Forms and Handouts

A copy of our office forms can be downloaded below and brought to our office at your next visit.  This may reduce the time needed to complete the forms once you have arrived and make more time available to spend with your provider. 

Download Registration Form


Office Practices and Policies

To better serve our patients, we have established the following practice guidelines. Questions regarding any office policy can be directed to our office staff.



Our contracts and agreements with insurance companies and health plans require us to collect all co-payments and deductible amounts at the time of service. Therefore, payment is expected at the time of arrival. If payment is not made at the time of the scheduled appointment, a $10.00 administrative fee will be assessed. This fee will not be billed to your insurance company. A $30.00 fee is assessed for all checks returned by your bank (e.g., NSF, stop payment).


Missed Appointments ("No Shows")/Cancellations

Scheduled appointment times are reserved especially for you. If an appointment is missed or canceled with less than 24-BUSINESS-hours notice, you will be billed according to the scheduled fee and instructions of your benefit plan. It is the policy of Alamo Mental Health Group to charge a fee of $150.00 for missed or canceled initial appointments with a psychiatrist and $100.00 for any missed or late-canceled follow-up appointments with a psychiatrist with less than a 24-BUSINESS-hour notice. There will also be charge of $100.00 for any missed or late-canceled appointments with a psychologist or therapist. Your insurance company will not be billed for fees associated with missed or last minute canceled appointments.

You may cancel a scheduled appointment within 24-BUSINESS hours by calling the office directly and speaking to a member of our administrative staff or by emailing us at cancelmyappointment@alamomentalhealth.com. 

A copy of our office policies, including our policy on missed appointments can be downloaded below.



Patient Tardiness

A patient arriving late for their scheduled appointment may not be able to be seen by their provider and may be considered a "no show."


Discontinuation of Treatment

Discontinuation of the services provided by our professional staff will be addressed should one of the following reasons occur: a) non-adherence with treatment recommendations, b) repeated cancelations or late arrivals to your scheduled appointments, c) not meeting your financial obligation for services rendered, and/or d) violating an appropriate code of conduct while in the offices of Alamo Mental Health Group.  You can discontinue treatment with any of the providers at any time in person, by phone, or in writing.


Provider Cancellations

Occasionally your provider may need to change his/her schedule, cancel, and reschedule appointments with you. You will be informed of this as far in advance as possible and/or rescheduled. In the event of illness of your provider, we may unfortunately be forced to give you little or no notice regarding the absence and the need to reschedule your appointment


Copy of Records

If you would like your physician or other professional to obtain a copy of your record, a release of information must be signed. The requesting party will be responsible for any fees. When applicable, the charge for copies of your medical records is $25.00 for the first 20 pages and .50 cents for each additional page in excess of 20 pages.  All fees must be paid in advance.


Court Appearances/ARD Meetings

A subpoena is required for all court appearances. The individual requesting the court appearance will be responsible for any fees charged. This also applies to depositions, other court related matters, and attendance at ARD meetings. Our charges for court/school related activities are generally greater than our typical charges for mental health services. The business office can provide more detail on this subject.


Disability Forms/Reports

There will be a $25.00 charge for the first page and $5.00 for each additional page for the completion of forms or reports for someone other than your health insurance. This charge must be paid in advance. If the form can be completed as part of your visit, there may be no charge. The business office can provide more information.

Some providers do not participate in disability certifications or evaluations.  This consists of individuals pursuing long-term disability on a psychiatric basis and who have been out of work because of psychological conditions on the job site. Please discuss such concerns with our support staff regarding providers that can assist you with these matters.



It is the policy of Alamo Mental Health Group to charge for letters written on behalf of patients.  When applicable, the charge for brief/non-complex letters is $10.00.  The fee for extensive/detailed letters begins at $25.00, depending upon the complexity and time involved to complete the letters.  All fees must be paid in advance.



Alamo Mental Health Group has night and weekend coverage for emergencies only. We expect calls after 5:00 p.m. and on weekends will be reserved for emergencies only. You should call 911 with any life-threatening emergency.  In the event of a nonlife-threatening emergency, you may call 614-8400 and have the on-call provider return your call and address your emergency.



Prescriptions are generally written in a quantity to last until the next scheduled appointment. It is our policy not to refill prescriptions outside of scheduled appointments.  If it does become necessary for a refill to be written or called in to your pharmacy due to you not keeping a scheduled appointment, a charge of $20.00 may be assessed. A $15.00 charge will be assessed on prescriptions of triplicate medications  (such as Ritalin, Vyvanse, Adderall, and Concerta) that are written between scheduled appointments. A $25.00 charge will be applied if a prescription must be rewritten due to the loss or expiration of that prescription. Requests for prescription refills are to be called in by your pharmacist from 9:00 a.m. through 3:00 p.m., Monday through Thursday for approval. A minimum of five business days is typically required for the prescription refill to be approved. Urgent prescription refills (less than five business days) can be issued for a $25.00 fee.  In general, prescription refills cannot be ordered or approved after business hours because your physician and chart may not be available.

To download a copy of our Prescription Refill Policies, click button below


Treatment Philosophy-Explanation of Treatment

Treatment at Alamo Mental Health Group is goal-directed and problem-focused. This means that your treatment goal or goals are established after a thorough assessment. All treatment is then planned with the goal(s) in mind and progress is made toward accomplishment of the goal(s) in a time efficient manner. You are asked to take an active role in setting and achieving your treatment goals. Your commitment to this approach is necessary for you to experience a successful outcome. While treatment is intended to generally be beneficial to our patients, it may at times be difficult, painful, and/or uncomfortable. If you have any questions about the nature of your treatment or care, please do not hesitate to ask your provider.


Your Rights and Responsibilities

 You have the right to receive information about Alamo Mental Health Group's services and practitioners, any clinical guidelines, and all patients' rights and responsibilities.


  • You have the right to be treated with respect and recognition of your dignity and need for privacy.


  • You have the right to participate fully with your provider in decision-making regarding your treatment planning.


  • You have the right to voice complaints or appeals about Alamo Mental Health Group or the care provided to you.


  • You have the responsibility to provide, to the extent possible, information that AMHG and its providers need in order to care for you.


  • You have the responsibility to follow the plans and instructions for care that you have agreed upon with your provider.


  • You have the responsibility to participate, to the degree possible, in understanding your behavioral health problem(s) and developing mutually agreed upon treatment goals.


Patient Advocate

Suggestions to improve what we do and the service we provide to our patients are welcome anytime. These suggestions along with any complaints, questions, praise, or concerns about any Alamo Mental Health Group administrative staff or provider should be directed to Michael G. Castillo, Ph.D., at 614-8400, ext 302 or e-mail at michaelcastillo@alamomentalhealth.com.