thank you for being a valued client!

Follow-up appointments are typically scheduled at the end of each visit. Please text or call our dedicated non-urgent client support line at (623) 887-6164 or message us using your secure client portal through Charm Health to change or make an appointment. Please allow up to two business days for a response.

Do not include protected health information (PHI) in your SMS text message. Should we need to discuss PHI, you will receive a reply text message with a link to access our secure chat. 

Please note the following:

1. Missed appointments, or appointments canceled or rescheduled with less than 24 hours' notice, are subject to a $50 fee. Arrivals more than 10 minutes late to a scheduled appointment are considered missed appointments and will need to be rescheduled.

2. Clients who have not been seen within the past six months will require a new psychiatric evaluation and need to schedule as a new patient.

Please text or call our dedicated non-urgent client support line at (623) 887-6164 or message us using your secure client portal through Charm Health to send us a message regarding all non-urgent matters. Please allow up to two business days for a response.

Do not include protected health information (PHI) in your SMS text message. Should we need to discuss PHI, you will receive a reply text message with a link to access our secure chat. 

Please text or call our dedicated non-urgent client support line at (623) 887-6164 or message us using your secure client portal through Charm Health to send us a refill request. Please allow up to two business days for a response.

Do not include protected health information (PHI) in your SMS text message. Should we need to discuss PHI, you will receive a reply text message with a link to access our secure chat. 

Please note the following:

1. Client's must directly request refills on controlled stimulant medications every month. Refill requests that are received from the pharmacy for any controlled substances will be denied. Please message us 3-5 days before running out of your medication.

2. We do not provide early refills on controlled substances for any reason, including, lost or stolen medications.

3. We do not prescribe new medications outside of an appointment. Please schedule a follow-up appointment should you wish to discuss a new medication outside of your current medication regimen.

4. Refills will not be provided for any client who has missed their scheduled follow-up appointment or has not followed up within the requested time frame. Medication bridges until a follow up appointment will be considered on a case-by-case basis and at the provider's discretion.

4. Please allow up to two business days for a response to all medication refill requests.

Please note that Cactus Garden Mental Health Services does not offer crisis or after-hours services. 

If you are experiencing a life-threatening emergency, please call 911 or go to your nearest emergency room.

If you are experiencing a psychiatric emergency or need additional mental health resources, please call or text 988, the National Mental Health Hotline.

Please click the link below to access the secure client portal through Charm Health. The secure client portal is a preferred communication method and should be used as the primary means of contact for all requests, questions, and concerns.

PHR Login (charmtracker.com) 

If you do not have access to the client portal or prefer not to text and need to send or receive protected health information, please contact us using our secure messaging platform, Spruce. You will need to download the Spruce app or visit the Spruce website to sign up and access the secure messaging system. Instructions for use, including how to download the app and a QR code can be found by clicking on the link below.

 Cactus Garden Mental Health Services, LLC (spruce.care) 

You may opt to text us on our dedicated client support line at (623) 887-6164 for non-urgent matters. Please allow up to two business days for a response.

Do not include protected health information (PHI) in your SMS text message. Should we need to discuss PHI, you will receive a reply text message with a link to access our secure chat. 

*By texting us, you agree to receive reply text messages. You may text STOP at any time to opt out of text message communications.