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Psychiatric Services via Remote Telepsychiatry for Gender-Diverse People

Skycloud Mental Health is a telepsychiatry practice that provides medication, therapy, and other mental health treatments to patients in need of support. Skycloud’s team of psychiatric nurse practitioners offer a caring, comfortable space for you to receive therapy and medication for panic attacks, agoraphobia, GAD, and other anxiety disorders.

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 Everyone deserves to be their true selves. At Skycloud Mental Health, we help individuals that are in the process of understanding their gender, and those that are looking into gender affirming care with addressing their mental health concerns, affirming their gender identities, and performing psychiatric evaluations necessary for taking the next steps in the gender affirmation process.

We also work remotely, and are licensed to provide these services in Washington State, Oregon, Utah, Minnesota, and Arizona. It doesn’t matter where you are in these states – you can find a place that is private and safe, and use the phone or digital video to finish your sessions. Use our online form to request an appointment.

What is Gender Affirming Care and Psychiatric Transgender Support?

Transgender and other gender-diverse individuals deserve to live their truth. Yet the process to become the person they were meant to be isn’t always easy. We do still live in a world dominated by cisgender norms, and one where trans people remain vulnerable to roadblocks set up by politicians and intolerance.

Our work, at Skycloud Mental Health, is to help you get to where you want to be by completing any required evaluations, managing medications, addressing any mental health concerns that may be present both as a result of living as a transgender person and from those that have developed independently, but may stand in the way of your ability to feel happy with yourself.

Gender affirming care provides the psychological and psychiatric services that you need to take the steps necessary to present your real self to the world. 

Our Treatment and Support for Transgender and Gender-Diverse People

Skycloud is led by a team of Psychiatric-Mental Health Nurse Practitioners (PMHNP). 

We know how important it is for those that are looking for gender affirming services to know that they’re working with someone that cares for them inside and out. We offer several important services aimed at transgender and other gender-diverse individuals, including:

  • Gender Affirming Surgery Psychiatric Evaluations
  • Anxiety, Stress, Depression, and Grief Treatment
  • Medication Management

Our work is holistic. We believe in seeing you for who you are, and learning more about your life in ways that allow us to give you the best possible advice and support we can. Our founder, Madeline Jacobs, worked at the largest LGBTQ+ center in the world in Los Angeles, and recognizes some of the challenges that people face in today’s world – even more so over the past several years.

We also recognize and acknowledge that, as a marginalized group, not all people feel safe or comfortable visiting an office. That is one of the reasons that we are a telepsychiatry practice. You can find a location where you feel safe and have privacy, and use online video to receive your care. 

We also know that, in some areas of WA, OR, UT, MN, and AZ, you may have a difficult time finding someone qualified – or someone you feel safe with – to give you gender affirming support, and so telepsychiatry ensures that we are only a phone call away. 

Expressing who you are is not always easy. But through gender affirming care and support before, after, and during the gender affirmation process, you will be able to discover yourself and find peace and contentment.

Learn more about our services or get started today by contacting our office to get connected to one of our clinical nurse practitioners. 

 

call us today:

Phone 503-694-3381

or use our form

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The following questions will match you with the provider best suited to your needs. Are you the patient?

The potential patient, or their parent/guardian, must fill out this form. Identification will be requested during the process. If they are not available, please direct the potential patient to this page at a later time. Health care providers can find referral information here.

We are taking patients ages 13-17 with certain specified insurance panels in OR and WA, and patients 16-17 with a referral in UT. “You” in the following slides refers to the potential patient.

Are you seeking psychotherapy, medication management, or another evaluation type?

Our psychotherapy caseload is currently full. Click here to join the waitlist.

Our psychotherapy caseload is full. Click here to learn more about psychiatric evaluations, which can help you determine a treatment plan. Call us at 503-694-3391 or email admin@skycloudhealth.com with any questions.

Our psychotherapy caseload is full. Click here to learn more about psychiatric evaluations, which can help you determine a treatment plan. Call us at 503-694-3391 or email admin@skycloudhealth.com with any questions.

Limitations of Skycloud:

  • – We do not offer emotional support animal letters.
  • – We do not offer evaluations for disability or legal reasons.
  • – We do not accept Medicare or Medicaid.
  • – We do not provide work or academic accommodations. We can provide a diagnosis letter in the context of ongoing psychiatric care.
Resources

Have you attempted suicide in the past?

When was your most recent suicide attempt?

Unfortunately we do not have clinicians who are able to treat you via telehealth at this time. Please contact clinic at (503) 694-3381 with questions and check our list of resources.

See Resources

Have you ever been hospitalized in a psychiatric unit or stayed in a residential mental health facility?

When was your most recent hospitalization or stay in a residential mental health facility?

Where do you reside?

We are only offering services in Oregon, Washington, Utah, Arizona, and Minnesota at this time.

See Resources

Are you seeking a prescription for a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) medication?

Are you seeking a prescription for a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) medication?

Are you seeking a prescription for a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) medication?

Are you seeking a prescription for a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) medication?

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR and WA with a minimum once yearly in-office visit near Portland, OR or Eugene, OR when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Starting in November 2023, an in-office visit will be required prior to initiating a controlled substance prescription, per federal law. Contact admin@skycloudhealth.com with questions.

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Starting in November 2023, an in-office visit near Portland, OR or Eugene, OR will be required prior to initiating a controlled substance prescription, per federal law. Click “Okay” to continue.

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR and WA with a minimum once yearly in-office visit near Portland, OR or Eugene, OR when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Starting in November 2023, an in-office visit will be required prior to initiating a controlled substance prescription, per federal law. Contact admin@skycloudhealth.com with questions.

See Resources

Starting in November 2023, an in-office visit near Portland, OR or Eugene, OR will be required prior to initiating a controlled substance prescription, per federal law. Click “Okay” to continue.

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Minnesota. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

Resources

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Utah. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

Resources

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

See Resources

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

See Resources

How old are you?

We do not have providers serving people under 18 at this time who accept your insurance. Email us for temporary self-pay options while our pediatric providers are in the credentialing process. Here is a list of resources.

Due to federal laws that prevent us from seeing patients who are qualified for Medicare as self-pay patients without opting out of Medicare, we are unable to see patients who are over 65 at this time. Here is a list of resources.

How old are you?

Currently, our providers who accept your insurance take patients ages 18+ or 16-17 with a referral. Providers in our practice who do not accept your insurance accept self-pay patients and are in the credentialing process with your insurance panel. Contact admin@skycloudhealth.com if you have a referral or would like to self-pay temporarily.

Due to federal laws that prevent us from seeing patients who are qualified for Medicare as self-pay patients without opting out of Medicare, we are unable to see patients who are over 65 at this time. Here is a list of resources.

How old are you?

We do not have providers serving people under the age of 13 at this time. Here is a list of resources.

Due to federal laws that prevent us from seeing patients who are qualified for Medicare as self-pay patients without opting out of Medicare, we are unable to see patients who are over 65 at this time. Here is a list of resources.

How old are you?

We do not have providers serving people under the age of 13 at this time. Here is a list of resources.

Due to federal laws that prevent us from seeing patients who are qualified for Medicare as self-pay patients without opting out of Medicare, we are unable to see patients who are over 65 at this time. Here is a list of resources.

How old are you?

We do not have providers serving people under the age of 13 at this time. Here is a list of resources.

Due to federal laws that prevent us from seeing patients who are qualified for Medicare as self-pay patients without opting out of Medicare, we are unable to see patients who are over 65 at this time. Here is a list of resources.

Our provider is in process of panelling with your insurance. You can see him at a discounted self pay rate until he is contracted. Click below to schedule.

Resources

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

In-person intake appointments with Madeline Jacobs are only available on Tuesdays in Clackamas, Oregon.

*Note: All times are in Pacific Standard Time (PST).

Schedule Appointment

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*Note: All times are in Pacific Standard Time (PST).

Schedule Appointment

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*Note: All times are in Pacific Standard Time (PST).

Schedule Now

Dose/Med

Our providers will review your submission to determine if we are a good fit for your needs. It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Ativan, Xanax, Klonopin). Please list the following required information: insurance, age, current medication names and dosages. If taking a benzodiazepine, specify if looking for assistance with tapering off the medication. If the potential patient is a minor, please note whether they have a history of self-harm.

Name(Required)
Name(Required)

Med/Dose

Our providers will review your submission to determine if we are a good fit for your needs. It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Ativan, Xanax, Klonopin). Please list the following required information: insurance, age, current medication names and dosages. If taking a benzodiazepine, specify if looking for assistance with tapering off the medication. If the potential patient is a minor, please note whether they have a history of self-harm.

Name(Required)
Name(Required)

Are you seeking a prescription for a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) medication?

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Arizona. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

Resources

Which insurance plan do you have?

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

ProceedSee Resources

Your information is kept confidential and helps us ensure we can provide you with care. Assistance: admin@skycloudhealth.com

If you are in a mental health crisis, do not use this form, call 988.