Meadowlark Clinical Consulting
A service line of Meadowlark Mind & Body.
Structured psychiatric recommendations for primary care, rural health, community health, and behavioral health clinics managing complex mental health cases.
Keep the patient. Support the provider. Avoid the full-time psychiatric hire.
The clinic problem
Many primary care and community clinics do not need another full-time psychiatric provider. They need reliable psychiatric input when their providers are stuck.
Clinics are managing depression, anxiety, ADHD symptoms, insomnia, trauma symptoms, mood instability, medication side effects, and psychiatric clinical decision-support questions.
Providers may be capable of continuing care but need structured psychiatric input on diagnostic questions, medication sequencing, monitoring, and referral thresholds.
Hiring psychiatric staff can involve recruiting, salary, benefits, credentialing, scheduling, no-shows, office space, and ongoing employee management.
The Meadowlark solution
Meadowlark Clinical Consulting provides written psychiatric eConsults and clinical decision support for clinics managing complex behavioral health cases.
Your clinic submits the case through a secure written process. Meadowlark reviews the clinical information and returns a structured written psychiatric recommendation.
Your clinic keeps the patient relationship. Your provider remains the treating and prescribing clinician. Meadowlark supports the plan.
How written eConsults work
Your team submits a selected case using a structured written format, including the clinical question, symptoms, diagnoses, current medications, past trials, safety concerns, screening scores, relevant labs, vitals, and medical context.
Meadowlark reviews the submitted information and considers psychiatric diagnosis, medication strategy, monitoring, safety, referral thresholds, and relevant medical or integrative factors.
Your clinic receives a structured written report with practical recommendations. The report is designed to support the treating clinician and may be incorporated into the medical record according to your clinic's policies.
The treating provider makes final treatment decisions, obtains informed consent, prescribes, monitors, follows up, and manages patient care.
What each eConsult may include
What is not included
Best-fit cases
Clinics commonly use this service when the treating team can continue managing the patient but wants structured psychiatric clinical decision support.
Why written eConsults?
Written eConsults require the referring team to organize the case before review. This improves clarity, reduces missing information, and creates a structured recommendation that can be reviewed by the treating provider and incorporated into the chart according to clinic policy.
Instead of a rushed phone call, your team receives a clear written report that can be referenced later.
Why clinics use this service
Pricing and service options
Ongoing support is customized based on clinic size, number of providers, number of locations, expected weekly eConsult volume, workflow needs, reporting needs, and contract scope.
Pilot Support
For clinics testing written psychiatric eConsult support before committing to a longer-term agreement.
Ongoing Clinic Support
For clinics that want recurring psychiatric eConsult support for selected complex behavioral health cases.
Multi-Location and Enterprise Support
For larger practices, rural health groups, community health organizations, or multi-location clinics.
Scope note: Same-day urgent psychiatric crisis support is not offered. Final pricing, volume, turnaround expectations, and scope are defined in the service agreement.
Clinical leadership
Brandon Jaggi, PMHNP-BC, is a Wyoming-based Psychiatric Mental Health Nurse Practitioner and owner of Meadowlark Mind & Body.
He has experience in both inpatient and outpatient psychiatric settings, with exposure to a broad range of acuity, diagnostic complexity, and medication-management needs. His clinical background includes outpatient psychiatric medication management, complex psychotropic medication decisions, anxiety, depression, ADHD, insomnia, trauma-related symptoms, mood disorders, polypharmacy, and integrative psychiatric care.
In addition to traditional psychiatric medication management, Brandon has completed hundreds of hours of additional continuing education, conference training, clinical literature review, and focused study in bioidentical hormone therapy, thyroid optimization, metabolic health, GLP-1-related clinical considerations, sleep, fatigue, integrative psychiatric care, and psychotropic medication management.
This broader training is especially useful when psychiatric symptoms overlap with medical, hormonal, metabolic, sleep-related, or medication-related factors.
FAQ
No. This service is clinician-to-clinician written consultation. Meadowlark does not directly evaluate the patient unless a separate direct-care arrangement is created.
The clinic's treating provider remains responsible for prescribing, informed consent, monitoring, follow-up, and final clinical decisions. Meadowlark provides consultative recommendations only.
No. This service is not for emergencies, crisis situations, suicidal intent, homicidal intent, acute psychosis, severe mania, severe withdrawal, delirium, or same-day psychiatric decision-making. Clinics should use their existing emergency and higher-level-of-care protocols.
Written recommendations are typically returned within 2-5 business days after a complete case submission. Turnaround depends on case complexity, completeness of information, holidays, and current consultation volume.
Meadowlark may request additional information or decline to complete an eConsult if the submission is incomplete, unclear, outside scope, or not appropriate for written consultation.
The report is designed to be clear and chart-ready. The treating clinic is responsible for deciding how to incorporate consultation recommendations into its own medical record and workflow.
No. It supports the treating provider's decision-making for appropriate cases. Some patients may still require specialty psychiatry, direct psychiatric treatment, emergency assessment, or a higher level of care.
Medication strategy is a major focus, but eConsults may also address diagnostic considerations, monitoring, safety, referral thresholds, screening tools, psychiatric-medical overlap, and treatment sequencing.
No. Meadowlark Clinical Consulting is led by Brandon Jaggi, PMHNP-BC. Recommendations are based on clinical review and professional judgment.
Service availability depends on licensure, malpractice coverage, and applicable state regulations. Meadowlark reviews geographic eligibility before accepting patient-specific consultation work.
Request information
Meadowlark Clinical Consulting is a service line of Meadowlark Mind & Body, a Wyoming-based mental health and integrative psychiatry practice.
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Prefer direct contact?
Call 307-300-5885
Email bjaggi@meadowlarkmindandbody.com
