Amy Walton, MD


Welcome and thank you for choosing our practice! We appreciate the opportunity to work with you. Please read this document carefully as it contains important information about professional services, business policies, and the respective rights and responsibilities of both provider and client. By signing this agreement, you are providing informed consent to engage in a treatment relationship. Please feel free to ask questions about the information below before you sign.  


Trust and safety are critical to a therapeutic doctor-patient relationship and we take confidentiality very seriously. Federal law prohibits the release of any health information without your written permission, except in the following circumstances:

  1. If your provider believes you may harm yourself or others

  2. If your provider suspects child or elder abuse

  3. If a court subpoenas your records

  4. If you are using health insurance benefits, we may be required to provide information to your health plan, including some or all of your record of treatment, in order for your carrier to pay for services. Psychotherapy notes are handled separately under HIPAA and have additional protections. 

  5. If you are party to child custody litigation at any time in the future, the court may order release of information about your treatment in this office. 

  6. In some instances, as provided by the state law of Texas, information about your healthcare may be exchanged with other healthcare professionals involved in your treatment.

Initial Consultation

Dr. Walton and her associates are board certified in the state of Texas to practice psychiatry, which includes prescribing medications, providing psychotherapy, or both, depending upon your particular treatment needs. During your initial visit, your provider will take a detailed history and make treatment recommendations. Successful treatment requires an active and committed approach by both patient and provider and initial consultations are designed to help determine if you and we are a good fit for continued work together.   

Physician-Patient Relationship

We believe the physician-patient relationship should be collaborative. We will do our best to explain our reasoning for any treatment recommendations and engage patients in the decision making process. In turn, we expect that patients will adhere to agreed upon treatment plans, including taking medications as prescribed, attending therapy modalities recommended, and obtaining lab work. Patients who are consistently noncompliant with treatment recommendations, follow-up, and lab draws may be terminated due to the risks associated with non-adherence. We expect the patient will be forthcoming and honest in all interactions. Deliberately misleading the provider or staff may be grounds for termination from the practice.  

In an effort to provide a safe environment for everyone in the office, direct or indirect threats will result in immediate termination from the practice. This includes, but is not limited to: threatening phone calls, yelling or screaming in person or over the phone, vulgar or profane language, intimidation, or threats. We will not tolerate deliberate property destruction. The office is a gun free zone. Neither open or closed carry is permitted. 

You have the right to discontinue treatment at any time. We will assume you have discontinued treatment if you’ve missed a scheduled appointment and do not reschedule within 30 days, you fail to schedule a follow-up appointment within 3 months of your last appointment, or you have not been seen in 6 months. Upon written request, our office will transfer records to an alternate provider.

Patient-Provider Communication

The secure patient portal is our preferred method of communication with patients.  It is HIPAA compliant and more secure than email. Typically, we can respond to portal messages much faster than via email or phone calls if you have questions or concerns about your treatment outside of your scheduled appointment time. We will make every attempt to respond to messages within 24-48 business hours. You will be invited to create a patient portal account when your initial appointment is scheduled.  

At this time, our patient portal does not support patients uploading and sharing .pdf or .jpg files (ex: prior treatment records, medication lists, updated insurance cards). Therefore, we utilize Spruce, a HIPAA-compliant messaging platform, for document sharing. We will invite patients to create a secure account. After receiving the invitation, you will create a username and password, and will be able to access your secure Spruce account from the Spruce mobile app or from a web browser. Once you have established a secure connection, we can exchange secure messages. These conversations are fully secure. 


Dr. Walton and her associates are in-network for Blue Cross Blue Shield and Cigna. We accept PPO plans only. We do not accept Medicaid or Medicare at this time. If we are not a provider for your insurance plan, we can provide you with a coded invoice (“superbill”) which may be presented to your insurer for reimbursement.  

*We strongly recommend you clarify your benefits and coverage before scheduling an appointment. Only your health insurance plan can describe your benefits to you or verify provider eligibility. If charges are denied by a health insurance plan they become entirely your responsibility, even if you had understood from your health insurance plan that the charges would be paid by them. 


Payment is due in full at the time of service. All patients are required to keep a current credit card on file. We will charge the card on file at the time of service, unless you request to use another form of payment prior to the end of the visit. We accept cash, checks, and most major credit cards. There is a $25 fee for returned checks. 


Our fee schedule is listed below. Paperwork such as school/work leave or accommodations, disability,  or insurance authorization forms can be time consuming for providers. We reserve the right to evaluate whether we are the appropriate clinical resource to complete these requests and/or refer accordingly.  We do not write letters for emotional support animals. 

Visit Type

Dr. Walton

Sabrina Kones, NP

New Patient Evaluation (self-pay)



Follow-up, 20-30 min (self-pay)



Follow-up, 45-60 min (self-pay)



Other Professional Services (report writing, disability paperwork, insurance prior authorization, etc.)

Prorated at $300/hr

Prorated at $300/hr

Late Cancellations & Missed Appointments

Treatment is available by appointment only. We value every patients’ time. A space held for you is a space not available to another person seeking help. Therefore, we require at least 48 hours advance notice should you need to cancel your appointment for any reason. The full self-pay fee will be charged to the card on file for all appointments missed (10 minutes after the scheduled appointment) or cancelled with less than 48 hours notice. Please note that health insurance plans do not pay for missed appointments, therefore these charges will be entirely your responsibility. Three missed appointments or late cancellations in a 12 month period may result in termination from the practice. Patients canceling or missing their initial assessment more than twice will not be rescheduled a third time.

Medications and Prescription Refills

Prescription of psychoactive medications requires provider monitoring of medication effectiveness and side effects to ensure patient safety. Rather than discontinuing prescribed medications or adjusting dosages in between appointments, please let us know if you are experiencing intolerable side effects. 

It is our policy to prescribe enough medication and refills to last until your next scheduled appointment. It is your responsibility to schedule follow-up appointments before your prescription runs out. It is at the discretion of the doctor whether or not a medication will be refilled without an appointment. Certain scheduled medications require an appointment for each refill to ensure medical necessity. We do not prescribe pain medications. Please see your primary care physician or pain specialist for narcotics. We also do not typically prescribe benzodiazepines or other potentially habit-forming medications. At the provider’s discretion, formal psychological testing (completed by a licensed psychologist or neuropsychologist) validating a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) may be required before stimulants will be prescribed. 


We make every effort to respond to voicemails or portal messages within 24-48 hours.  If you need more rapid attention for your own or someone else’s safety, do not delay while waiting for our office to return your telephone call. Please call 9-8-8 or go to your nearest hospital emergency room. The suicide hotline for Travis County is 512-472-HELP (512-472-4357). You may also call Austin Oaks Hospital (512-440-4800) in the event you feel you need psychiatric hospitalization. The after-hours doctor is for emergencies only, not for routine refill requests. No new controlled substances will be called in after hours or by on-call doctors.

In compliance with the No Surprises Act issued January 1, 2022, we are asking all current and potential patients or clients to review this fact sheet.

PRIVACY POLICIES Privacy Officer: Amy Walton, MD

Your Information. Your Rights. Our Responsibilities.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.


Effective 8/13/2021

Your Rights

You have the right to: 

  • Get a copy of your paper or electronic medical record

  • Correct your paper or electronic medical record

  • Request confidential communication

  • Ask us to limit the information we share

  • Get a list of those with whom we’ve shared your information

  • Get a copy of this privacy notice

  • Choose someone to act for you

  • File a complaint if you believe your privacy rights have been violated

Your Choices

You have some choices in the way that we use and share information as we: 

  • Tell family and friends about your condition

  • Provide disaster relief

  • Include you in a hospital directory

  • Provide mental health care

  • Market our services and sell your information

  • Raise funds

Our Uses and Disclosures

We may use and share your information as we: 

  • Treat you

  • Run our organization

  • Bill for your services

  • Help with public health and safety issues

  • Do research

  • Comply with the law

  • Respond to organ and tissue donation requests

  • Work with a medical examiner or funeral director

  • Address workers’ compensation, law enforcement, and other government requests

  • Respond to lawsuits and legal actions

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record 

  • You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this. 

  • We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

  • You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.

  • We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

  • You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. 

  • We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

  • You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.

  • If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

Get a list of those with whom we’ve shared information

  • You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.

  • We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

  • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.

  • We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

  • You can complain if you feel we have violated your rights by contacting us using the information on page 1.

  • You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting

  • We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care

  • Share information in a disaster relief situation

  • Include your information in a hospital directory

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases we never share your information unless you give us written permission:

  • Marketing purposes

  • Sale of your information

  • Most sharing of psychotherapy notes

In the case of fundraising:

  • We may contact you for fundraising efforts, but you can tell us not to contact you again.

Our Uses and Disclosures

How do we typically use or share your health information? 

We typically use or share your health information in the following ways.

Treat you

We can use your health information and share it with other professionals who are treating you.

Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Run our organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use health information about you to manage your treatment and services. 

Bill for your services

We can use and share your health information to bill and get payment from health plans or other entities. 

Example: We give information about you to your health insurance plan so it will pay for your services. 

How else can we use or share your health information? 

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see:

Help with public health and safety issues

We can share health information about you for certain situations such as: 

  • Preventing disease

  • Helping with product recalls

  • Reporting adverse reactions to medications

  • Reporting suspected abuse, neglect, or domestic violence

  • Preventing or reducing a serious threat to anyone’s health or safety

Do research

We can use or share your information for health research.

Comply with the law

We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Respond to organ and tissue donation requests

We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers’ compensation, law enforcement, and other government requests

We can use or share health information about you:

  • For workers’ compensation claims

  • For law enforcement purposes or with a law enforcement official

  • With health oversight agencies for activities authorized by law

  • For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information. 

  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

  • We must follow the duties and privacy practices described in this notice and give you a copy of it. 

  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind. 

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.