How Do Our Evaluations Work?

1. Contact Us: Reach out via email or use our online form to get more information and begin the process.

2. Create a Patient Portal account: This gives you access to our electronic medical record and provides a modality for exchanging messages with our providers and sharing documents.

3. Schedule Your Evaluation: Book your appointment at a time that suits you.

4. Complete Intake: Provide essential information through our secure online intake forms before your evaluation.

5. Virtual Assessment (Visit 1): Attend your evaluation visit via secure video conferencing from the comfort of your home.

6. Feedback (Visit 2): Discuss the results of the assessment and individualized recommendations.

7. Receive Your Report: Get detailed findings and personalized recommendations electronically.

8. 3 Month Follow-Up Included (Visit 3): Benefit from a complimentary follow-up consultation three months after your initial evaluation to review progress and make any needed adjustments.

Our team is committed to providing ongoing support. You will have access to our support network, including regular check-ins to monitor progress and make adjustments to the recommended interventions as needed.

What if my child already has a diagnosis and I am looking for ongoing care?

We are happy to see your child for ongoing care. Contact us and we can connect you with one of our providers.

What if I want ongoing support for general developmental or behavioral concerns for my child, not just an evaluation ?

We are happy to see your child general developmental concerns. Contact us and we can connect you with one of our providers.

Do you accept health insurance?

At Arrow Pathways, we understand that navigating the healthcare landscape can be challenging. Arrow Pathways provides super bills that include all the necessary details for insurance reimbursement. You can submit these super bills to your insurance provider for potential reimbursement according to your policy coverage.

Many providers, including those in our network, make the difficult and strategic decision not to accept insurance for several important reasons, and we are grateful for the opportunity to explain why this choice can benefit both our providers and patients:

1. Reduced Administrative Burden: Managing insurance claims is often a time-consuming and cumbersome process. By opting out of insurance, our providers can significantly reduce the paperwork and administrative tasks required, allowing them to focus more on delivering exceptional patient care. We appreciate their dedication to maintaining a patient-centric approach.

2. Fair Compensation: Insurance companies frequently negotiate lower reimbursement rates, which can diminish a provider's earnings. By not accepting insurance, we ensure that our providers receive fair compensation for their expertise and services. We are thankful for their commitment to delivering quality care without compromise.

3. Enhanced Autonomy: Accepting insurance often comes with strings attached, including adherence to specific treatment protocols and restrictions. Without these constraints, our providers have greater autonomy to make recommendations that are in the best interest of their patients, tailored to individual needs. We value their independence and the personalized care they provide.

4. Streamlined Practice Operations: Eliminating the need to process insurance claims allows our providers to streamline their practice operations. This leads to a more efficient, patient-focused environment where administrative overhead is minimized.

5. Improved Patient Care: We believe that avoiding the limitations imposed by insurance allows our providers to devote more time and attention to each patient. This results in more personalized and higher-quality care, as our providers are not pressured to see a high volume of patients to meet insurance reimbursement requirements.

6. Patient Empowerment: Many patients value the ability to choose their healthcare provider based on quality and fit rather than insurance network constraints. By not accepting insurance, our providers offer their services to a broader range of patients who prioritize personalized and direct access to care.

7. Financial Predictability: Without the uncertainties of insurance reimbursements, our providers enjoy a more predictable and steady cash flow. This financial stability allows them to invest in their practice and continually enhance the services they offer.

   At Arrow Pathways, we are committed to creating a patient-centric environment that emphasizes quality, autonomy, and efficiency. By choosing not to accept insurance, our providers ensure a more satisfying and effective healthcare journey for both patients and providers. We are deeply grateful for their dedication to providing exceptional care. 

In what states can you see patients?

Both Dr. Ciappa and Dr. Downes are licensed to practice in Pennsylvania and New Jersey. Through a cooperative agreement (PSYPACT), Dr. Ciappa is permitted to see patients in: 

Alabama, Arizona, Arkansas, Commonwealth of the Northern Mariana Islands, Connecticut, Colorado, Delaware, District of Columbia, Georgia, Florida, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New, Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming