Child & Adolescent Outpatient Treatment


Child and Adolescent Outpatient Program

FWS Outpatient Services are now being offered virtually.


Click here to hear Mark Mulholland’s (WNYT  NewsChannel 13) report on our new, virtual platform.

Four Winds Saratoga Psychiatric Services, P.C., provides specialized outpatient services for children and adolescents, up to age 18. Our services begin with a psychiatric evaluation and may also include ongoing medication management and coordination of behavioral health treatment. Each child’s family or support system plays a significant role, and is actively involved in the treatment process.

Due to the Coronavirus health crisis, we are taking the health and well being of our patients and staff members very serviously. As a result of state and federal guidelines, all of our providers have transitioned to a Telepsychiatry model. Telepsychiatry uses audio and video equipment to connect you with our staff over a secure, internet connection. During this time where in-person meetings are restricted, our online system allows you to connect to and interact with your provider to receive ongoing care without the need to travel to our office.

The Child and Adolescent Outpatient Department is directed by Brett Nelson, M.D. a board certified child and adolescent psychiatrist. Dr. Nelson is also a medical director for Project TEACH, Region 2, a New York State grant program that works directly with pediatricians and primary care physicians.

Referrals to the outpatient program are made by family members, primary care physicians, mental health therapists, schools and others. The clinical staff, consisting of psychiatric nurse practitioners, are available to take new referrals.

To Make a Referral to Child and Adolescent Outpatient

Please call 518-584-3600, ext. 3153.  Referrals will be addressed during regular business hours of Monday – Friday 8:00 a.m. until 4:00 p.m.

Download Admission Forms Prior to Your First Visit

Listed below are the Child and Adolescent Outpatient forms for new patients to download, print and fill out at home. One file is for you to print and keep at home. However, the "Admission Documents to Print and Return to Child and Adolescent Outpatient" are required to be filled out and returned to our office prior to your first appointment.

Information for Patients and Families

Access to Telepsychiatry and Consent Form
The Virtual Platform that we currently utilize is Doximity. Here is the link to connect with your provider on the day and time of your appointment:
FWS Child and Adolescent Outpatient Services via Doximity 
We suggest that you log in from a webcam enabled device 5 minutes prior to your scheduled appointment time.  For best results, please insure your internet connection is reliable. After logging in, navigate to the drop down menu and select the provider you are scheduled to see that day.  When asked for name, please enter the patient's name so the provider can easily identify them. 

If you are an existing patient who has recently chosen to participate with our online, Telepsychiatry system: Click here to compelete a Telemedicine Appointment Consent Form Please read, sign and returned this form to our office at least 24 hours prior to your first telepsychiatry appointment.

Should you have any questions or concerns about your telehealth appointment, please contact us at 518-584-3600, ext. 3023 or 3337.

To Make, Change or Cancel an Appointment
Please contact us during office hours, Monday- Friday, 8:00 a.m. - 4:00 p.m., by calling 518-584-3600, ext. 3337.

Twenty-four business hours notice is requested when you need to change or cancel your appointment. An automated telephone reminder system is used as a patient courtesy only. Please be aware that it is our policy to charge the parent the full visit fee for a late cancellation (less than 24 business hours) or if you do not show up for your scheduled appointment, whether or not our automated reminder system has contacted you.

Triage Line
518-584-3600, ext. 3219.
The triage line is open Monday - Friday from 8:00 a.m. - 4:00 p.m

If you are in crisis and require emergent attention, please call 911 or go to the nearest emergency room.

If you are experiencing medication side effects or medication issues that require immediate attention and the triage line is closed please call 518-584-3600, press 0 and ask to speak with a nursing supervisor.

The purpose of the triage line is to address concerns, questions and updates regarding the management of your child’s medication. When leaving a message, please speak slowly and provide the following information:

  • Patient’s first and last name (spelled out) and date of birth
  • The name of the patient’s Medical Provider
  • A brief description regarding the purpose of you call
  • A phone number where you can be easily reached. If you are not easily available by phone, please provide the time of day to return your call and every effort will be made to return your call at that time.

Calls are returned in the order of their medical urgency. Due to the high call volume, it may take up to 24 hours to return your call.

Prescription Refill Requests
Call for your refill 10 days before your prescription runs out. The Prescription Refill Line is open 24 hours a day, 7 days a week.

To make a medication refill request, please call 518-584-3600, ext. 3334. The refill mailbox is checked until 11:00 a.m., Monday-Friday. Calls after 11:00 a.m. will be retrieved next business day. Your request will be processed within 2 business days.

When leaving a message, please speak slowly and provide the following information:

  • Patient's first name, last name (spelled out) and date of birth
  • Date of your next appointment. There must be an appointment scheduled to obtain a prescription
  • Name of medication(s), the dosage and dispensing intructions
  • Do you want your script - If giong to the pharmacy, please provide pharmacy name and telephone number.

Please note: Refill requests need to be made by the patient's parent/guardian only. We do not respond to pharmacy requests for renewals.

We Are Here To Help

Four Winds Hospitals are committed to serving our patients. Please know that,
as always, the health and safety of our patients and staff is our highest priority as we continue to provide treatment during this time of crisis. We are continuing to accept inpatient referrals for children, adolescents and adults and invite you to call our Admissions Office at
1-800-959-1287 or
select prompt "1" to be connected. 

We have implemented measures for the protection 
of those on our campus in response to the Covid-19 crisis, following the directions of 
both the CDC and DOH, and
our own protocols. As we remain committed to providing the very best in mental health care, please let us know if we can help.

How to Obtain
Outpatient Clinical

If you are a current or former patient, or the legal guardian of a patient, and you would like to obtain or share Medical Record information, please print and complete this form: "Outpatient Authorization for Release of Information".

On the form, please provide as much detail as you can regarding your request for records or request to disclose records to another entity. Please be sure the form is dated and that an individual, over the age of 18, witnesses your signature.

Use the contact information on the form to fax or mail the request to our Child and Adolescent Outpatient Service. Please allow 7-10 business days for us to process your request.

Four Winds Saratoga

30 Crescent Avenue
Saratoga Springs, NY  12866

Phone: 518-584-3600
Toll-Free: 1-800-888-5448