AlviPsych
Pre-surgical psychiatric clearance for San Antonio patients and surgical teams.
Standardized virtual evaluations for bariatric, spinal, DBS/VNS, cosmetic, and transplant procedures. A complete clearance report delivered in 48 hours. $500 cash-pay. No insurance hassle.
One service, two clear paths.
Whether you're a San Antonio patient with a procedure on the calendar or a surgical coordinator at Methodist, University Health, or a private practice — we get the clearance step done in days, not months.
If your surgeon has asked for a psychiatric clearance, start here.
- Book online and meet your psychiatrist by secure video — no commute, no waiting room.
- Complete intake and screening questionnaires from your phone or laptop.
- One flat $500 fee. No insurance pre-authorization or surprise bills.
- Your clearance letter is sent to your San Antonio surgeon's office within 48 hours.
A reliable, standardized clearance pathway that takes coordination off your office's plate.
- Share a single QR code or link — your team is out of the scheduling loop.
- Validated screeners and an indication-specific assessment in every report.
- Structured PDF clearance letter delivered securely to your office in 48 hours.
- Predictable cash-pay — no payer authorizations, no scheduling drag.
Clearances for every surgery type we cover.
Each evaluation includes the universal mood and substance-use screening set, with indication-specific instruments layered on top.
Bariatric
BES plus universal screeners, eating patterns, support, and post-op adherence readiness.
Spinal cord stim & pain implants
PCS-Short pain catastrophizing and opioid-risk screening, plus the universal set.
DBS / VNS
Universal screeners with capacity and expectation review for neuromodulation candidates.
Cosmetic surgery
Universal mood & substance screeners, capacity, and expectation review.
Organ transplant
SIPAT-Lite plus universal screeners — calibrated for transplant selection workflows.
How it works.
Three steps for both patients and surgical offices. No insurance friction, no chasing paperwork.
Book or refer
Patients book online directly. Surgical offices share a single QR code or link — no scheduling on your end.
Complete the virtual evaluation
Intake, consent, and screeners run online. The live psychiatric interview happens over secure video.
Receive the clearance report in 48 hours
A structured PDF clearance letter is delivered securely to the patient and the surgeon's office.
What's in every report.
Standardized so San Antonio surgical offices read the same sections every time, regardless of indication.
DOB: [Redacted] · MRN: [Redacted]
Referring surgeon: [Redacted, San Antonio, TX]
Procedure: Laparoscopic sleeve gastrectomy
Screening results
PHQ-9: 4 (minimal) · GAD-7: 3 (minimal)
AUDIT-C: 1 · DAST-10: 0
BES: 9 (no significant binge eating)
Clinical impression
Capacity intact. Realistic expectations.
No active psychiatric contraindication identified.
Recommendation
Cleared for bariatric surgery from a psychiatric standpoint. Request a full sample report →
Transparent, cash-pay pricing.
One flat fee covers the intake, the screeners, the live psychiatric interview, and the standardized clearance report. No insurance billing, no surprise codes, no follow-up admin for the surgical office.
Includes intake, screeners, live interview, and 48-hour report. Patients pay AlviPsych directly at booking — your surgeon stays out of the billing loop.
Serving San Antonio & the surrounding counties — virtually.
Because the evaluation is fully telehealth, there's no commute and no geographic limit within Texas. We see patients from every corner of the San Antonio metro and beyond.
Inside Loop 410
Downtown, Southtown, Olmos Park, Alamo Heights, Terrell Hills, Monte Vista
North & Northwest
Stone Oak, Hollywood Park, Castle Hills, Hill Country Village, Leon Valley, Helotes, Westover Hills
Northeast & East
Live Oak, Universal City, Schertz, Cibolo, Selma, Converse, Kirby
Medical Center area
South Texas Medical Center, Babcock, Wurzbach, UT Health San Antonio campus
Comal & Guadalupe
New Braunfels, Canyon Lake, Seguin, Marion, Bulverde, Spring Branch, Garden Ridge
Hill Country & commuter belt
Boerne, Fair Oaks Ranch, Kerrville, San Marcos, Wimberley, Pleasanton, La Vernia
Frequently asked questions — San Antonio.
If your question isn't here, email info@alvipsych.com or call (210) 343-1433.
Do I have to travel to San Antonio for the evaluation?
No. All AlviPsych evaluations are fully telehealth, so the visit happens from anywhere in Texas — your home, your car, your workplace. You only need a phone or laptop with a camera and a private space.
Is AlviPsych affiliated with Methodist, University Health, or any San Antonio bariatric program?
AlviPsych is an independent telepsychiatry practice. We are not contracted with any single hospital system, which means we can accept patients from every San Antonio surgical program — Methodist, University Health, Texas Bariatric Specialists, BMI of Texas, and private practices alike. Our clearance letter is formatted to be accepted by any surgical team.
How fast will my surgeon receive the clearance letter?
The clearance letter is delivered to your surgeon's office within 48 hours of your completed evaluation. Most patients book a visit within a few business days of being asked, so the surgical team typically has the letter inside a week.
I'm in New Braunfels / Boerne / San Marcos — can I still use this?
Yes. Because the evaluation is fully telehealth, distance from San Antonio doesn't matter. We serve patients across Bexar, Comal, Guadalupe, Kendall, Wilson, Atascosa, Medina, and Hays Counties — and anywhere else in Texas.
Will my San Antonio surgeon accept your clearance letter?
Yes. The AlviPsych clearance letter is a structured, signed psychiatric clearance report following the documentation standards required by bariatric, transplant, neuromodulation, spinal, and cosmetic surgical programs. If your surgical team has questions, they can call us at (210) 343-1433 or email info@alvipsych.com.
What if I'm not cleared?
You'll receive a structured report documenting the clinical reasoning, screener results, and any recommended next steps — such as stabilization of an active condition, follow-up screening at a later date, or referral for ongoing care. The goal is to support safe surgical planning, not to delay your procedure unnecessarily.
Do you bill insurance?
No. AlviPsych is cash-pay only — $500 flat per evaluation. We can provide a superbill for insurance submission, but reimbursement depends on your plan. Cash-pay keeps turnaround predictable and removes prior-authorization delays.
Is this a HIPAA-compliant telehealth visit?
Yes. All evaluations are conducted over HIPAA-secure telehealth, with intake and consent handled through compliant platforms. We only work with vendors that have a signed Business Associate Agreement (BAA) in place.
Ready to move your San Antonio case forward?
Patients can book a virtual visit in under two minutes. Surgical teams and coordinators can request a QR code, a patient-facing link, and a redacted sample clearance letter.
