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The Cash-Pay Practice Handbook

Everything you need to start and run a cash-pay psychiatric practice

Seven chapters covering every decision, from whether it is worth leaving your job to keeping your panel full. Specific, current, and free to read.

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How to Get Your First Private Practice Patients Without Ads

The three channels that fill a new cash-pay psychiatry practice, ranked by what actually works, plus why paid ads should wait until you already have a pipeline.

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The seven chapters

Everything from deciding it is worth it to keeping your panel full. We are publishing them in order.

  1. Chapter 1Coming soon

    Deciding

    Whether private practice is worth it: the income, the autonomy, and employed versus on your own.

  2. Chapter 2Coming soon

    Leaving Your Job

    The transition off insurance and employment: notice, non-competes, and bringing patients with you.

  3. Chapter 31 guide

    Launch Logistics

    Entity, malpractice, licensing, DEA and EPCS, and what it actually costs to open the doors.

  4. Chapter 4Coming soon

    Pricing and Economics

    Setting and holding your fees, the panel math, and membership and concierge models.

  5. Chapter 53 guides

    Getting Patients

    Directories, referrals, and the marketing that actually fills a cash-pay panel.

  6. Chapter 6Coming soon

    Billing and Paperwork

    Superbills, out-of-network reimbursement, and Good Faith Estimates done right.

  7. Chapter 7Coming soon

    Operations and Tech

    Your EHR, a near-zero-admin workflow, and running an AI-assisted practice.

Chapter 3

Launch Logistics

Do You Need a PLLC to Start a Private Practice?

No, and a PLLC won't shield you from malpractice either. When incorporating actually saves money, which entity your state requires, and what filing really costs.

Sina Hartung · June 16, 2026 · 9 min read

Chapter 5

Getting Patients

What to Say on a Free 15-Minute Consultation Call

A six-step script for the free consult call: how to state your fee and stay silent, what you legally cannot say, and how to book the patient before you hang up.

Sina Hartung · June 15, 2026 · 6 min read

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