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Meadowlark Clinical Consulting

Written Psychiatric eConsults For Clinics

Structured psychiatric recommendations for clinics managing complex behavioral health cases without adding another full-time psychiatric provider.

Keep The Patient. Support The Provider. Avoid The Full-Time Psychiatric Hire.

A Practical Alternative To A Psychiatric Hire

  • Your clinic keeps the patient relationship
  • Your provider remains the treating and prescribing clinician
  • Meadowlark returns structured written psychiatric recommendations
  • No direct patient visits, prescribing, refills, or emergency coverage

Designed for selected complex cases, not crisis situations or same-day decisions.

The Clinic Problem

Clinics Are Already Managing More Behavioral Health Complexity.

Many primary care and community clinics do not need another full-time psychiatric provider. They need reliable psychiatric input when their providers are stuck.

Complex Case Load

Clinics are managing depression, anxiety, ADHD symptoms, insomnia, trauma symptoms, mood instability, medication side effects, and psychiatric medication questions.

Provider Burden

Providers may be capable of continuing care but need structured psychiatric input on diagnostic questions, medication sequencing, monitoring, and referral thresholds.

Hiring Friction

Hiring psychiatric staff can involve recruiting, salary, benefits, credentialing, scheduling, no-shows, office space, and ongoing employee management.

The Meadowlark Solution

Written Psychiatric eConsults For Selected Complex Cases.

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.

The Clinic Keepspatient relationship, prescribing, informed consent, monitoring, follow-up, and final decisions.
Meadowlark provideswritten psychiatric recommendations based on the clinical information submitted.
The Service Avoidsdirect patient visits, refills, portal messages, emergency coverage, and replacement of the treating clinician.

How Written eConsults Work

A Structured Written Workflow That Keeps Your Provider In Charge.

1

Submit The Case

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.

2

Meadowlark Reviews

Meadowlark reviews the submitted information and considers psychiatric diagnosis, medication strategy, monitoring, safety, referral thresholds, and relevant medical or integrative factors.

3

Receive The Written eConsult

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.

4

Your Provider Remains In Charge

The treating provider makes final treatment decisions, obtains informed consent, prescribes, monitors, follows up, and manages patient care.

What Each eConsult May Include

Chart-Ready Psychiatric Decision Support.

  • Concise case summary
  • Diagnostic considerations
  • Medication options
  • Medication monitoring recommendations
  • Safety considerations
  • Side-effect and interaction considerations
  • Referral or escalation guidance
  • Suggested follow-up considerations
  • Relevant labs or screening tools when appropriate
  • Sleep, thyroid, metabolic, hormone, and integrative considerations when clinically relevant
  • References when appropriate

What Is Not Included

Clear Scope Boundaries.

  • Direct patient visits
  • Direct prescribing
  • Medication refills
  • Prior authorizations
  • Patient portal messages
  • Emergency or crisis coverage
  • Same-day psychiatric decision-making
  • Legal, forensic, disability, custody, or workers' compensation opinions
  • Replacement of the treating clinician
  • Medical director services unless separately contracted
  • Billing or reimbursement guarantees

Why Clinics Use This Service

Psychiatric Support Without Building Another Full-Time Hire Around It.

Keep appropriate patients in-house
Reduce unnecessary psychiatry referrals
Support PCPs, FNPs, PAs, therapists, and care managers
Improve confidence with psychiatric medication decisions
Receive structured written recommendations for the chart
Access psychiatric expertise through a predictable monthly arrangement

Pricing And Service Options

Start With The Basic Plan. Scope Ongoing Support Around Your Clinic.

The Basic Plan is published at $2,499/month. Ongoing clinic support is quoted individually after a brief workflow review, based on expected eConsult volume, provider count, locations, reporting needs, and contract scope.

Ongoing Clinic Support

Quoted IndividuallyCurrent Pricing By Request

Best for clinics or organizations needing a scoped monthly arrangement beyond the Basic Plan.

  • Scoped around expected weekly eConsult volume
  • Can account for number of providers and locations
  • Workflow, secure submission, and reporting needs reviewed before quoting
  • Utilization reporting
  • Optional provider education
  • Final pricing and service scope defined in the service agreement

Cost Comparison

A lower-commitment way to add psychiatric expertise.

For many clinics, the question is not whether psychiatric input would help. It is how to add that support without recruiting, credentialing, and managing another full-time clinical role.

The U.S. Bureau of Labor Statistics reports 2024 median pay for nurse anesthetists, nurse midwives, and nurse practitioners at $132,050 per year, before benefits, payroll taxes, recruiting costs, scheduling coverage, office space, and administrative overhead. Meadowlark Clinical Consulting gives clinics a predictable way to add structured psychiatric decision support for selected cases without building a full-time psychiatric position around it.

$2,499/month Published Basic Plan
Up to 3/week Written psychiatric eConsults
No New Hire No benefits, recruiting, or employee management

Scope Note: Pricing beyond the Basic Plan is provided after a brief clinic workflow discussion. Additional volume, multi-location workflows, provider education, utilization reporting, and special projects can be scoped separately. Same-day urgent psychiatric crisis support is not offered.

Clinical Leadership

Led By Brandon Jaggi, PMHNP-BC.

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, alternative and integrative psychiatry, 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

Common Questions From Clinics.

Does Meadowlark See Our Patients Directly?

No. This service is clinician-to-clinician written consultation. Meadowlark does not directly evaluate the patient unless a separate direct-care arrangement is created.

Who Prescribes Medications?

The clinic's treating provider remains responsible for prescribing, informed consent, monitoring, follow-up, and final clinical decisions.

Can We Send Urgent Or Crisis Cases?

No. This service is not for emergencies, crisis situations, suicidal intent, homicidal intent, acute psychosis, severe mania, withdrawal, delirium, or same-day psychiatric decision-making. Clinics should use their existing emergency and higher-level-of-care protocols.

How Fast Are Recommendations Returned?

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.

Can We Send Incomplete Cases?

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.

Can The eConsult Be Placed In The Medical Record?

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.

Is This A Replacement For Psychiatry Referral?

No. It supports the treating provider's decision-making for appropriate cases. Some patients may still require specialty psychiatry, higher-level care, emergency evaluation, or direct psychiatric treatment.

Is This Only For Medication Questions?

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.

Is This An AI Service?

No. The service is led by Brandon Jaggi, PMHNP-BC. Recommendations are based on clinical review and professional judgment.

Can Clinics Outside Wyoming Use This?

Service availability depends on licensure, malpractice coverage, and applicable state regulations. Meadowlark will review geographic eligibility before accepting patient-specific consultation work.

Request Information

Request A Clinic Information Packet Or Introductory Call.

Meadowlark Clinical Consulting is a service line of Meadowlark Mind & Body, a Wyoming-based mental health and integrative psychiatry practice.

Do Not Submit Patient Information Through This Form.

This form is for clinic and business inquiries only. Do not submit patient information through this form. Do not include patient names, dates of birth, medical record numbers, clinical histories, medication lists, or other protected health information.

Where Does This Form Go?
Submitting this form opens an email draft addressed to bjaggi@meadowlarkmindandbody.com. The website does not store form submissions. Your email app must send the message for Meadowlark to receive it.

Prefer Direct Contact?
Call 307-300-5885
Email bjaggi@meadowlarkmindandbody.com