Fremont, Nebraska
Medication Management in Fremont
Fremont's economy does not keep office hours, the plants run around the clock, harvest does not reschedule, and Dodge County's psychiatric coverage is effectively a rumor. So sleep frays on rotating shifts, worry compounds through planting and prices, and the nearest specialist with an opening is a county away and a season out. Medication that affects your brain should be managed, not merely refilled. shrinkMD brings board certified medication management to Fremont by video, with appointments as soon as availability allows and progress tracked at every visit.
Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Published June 7, 2026 · Last reviewed July 7, 2026 · Editorial policy
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Why shrinkMD
Care built around Fremont
We bring board certified psychiatry to Fremont within days, by video, scheduled around plant rotations and field work, post shift mornings, evenings, and the slow hour after lunch all work.
Shift disrupted sleep gets treated as part of the condition, not an excuse. No insurance billing keeps everything off employer plans, and visits run fine on a phone connection with backup protocols when rural internet acts rural.
What's included
Stewardship, visit by visit
Good prescribing is a feedback loop. At each visit your clinician reviews your validated symptom scores, your side effects, and your sleep, then adjusts a single variable so cause and effect stay readable. While starting or changing medication that loop runs every two to four weeks; once you're doing well it relaxes to every one to three months.
Your full trial history, names, doses, durations, responses, lives in your chart from day one, so failed experiments never get repeated. Prescriptions go electronically to your pharmacy, monitoring labs are arranged through your local clinic when a medication requires them, and your primary care doctor stays in the loop with your permission. No controlled substances, stated plainly before you ever book.
Keep exploring
Care and next steps in Fremont
Frequently asked questions
Good questions, clear answers
Is this practical from a farm outside town?
Completely. Phone grade internet suffices, the visit happens at the kitchen table, and calving and harvest are calendar facts we plan around.
Will my employer's plan ever show a mental health claim?
Never, because we bill no insurance. There is no claim to show.
Can you take over prescriptions from my previous provider?
Usually yes, for non controlled medications, after an evaluation and records review. Switching shouldn't mean starting over or missing a refill.
Do you prescribe stimulants or benzodiazepines?
No, anywhere. We're upfront about it before you book, and skilled with the non controlled options the evidence supports.
How do labs work with a telehealth practice?
We coordinate orders through your local clinic or lab, lithium levels, metabolic panels, thyroid checks, and review results together. Telehealth changes the visit, not the monitoring standard.
About Fremont
Fremont is home to about 28,000 residents, one of the larger cities in eastern Nebraska. It's the seat of Dodge County and a regional commercial and agricultural center northwest of Omaha. Our patients here range across farming families, food-processing and manufacturing workers, and commuters.
Serving Fremont
Care should reach every corner of Fremont. As a Dodge County city near the Platte River, known as the Antique Capital of Nebraska, Fremont stretches from the Dodge County Courthouse area, historic downtown, and the May Museum, and shrinkMD brings board-certified telepsychiatry to all of it by secure video, with the same psychiatrist over time.
What it costs
Transparent, published pricing
Our self-pay prices are the same in every state where we practice. No insurance billing, and no surprise statement later.
| Service | Self-pay price | What's included |
|---|---|---|
| Initial evaluation | From $295 | A full 50 to 60 minute evaluation, diagnosis, and written plan. |
| Follow-up visits | $110 to $215 | Per visit, depending on length and complexity. Member rates are lower. |
| Membership (optional) | $49 per month | Priority scheduling, member rates, and the Unstuck and QuitScrolling apps. First month free. |
Your care team
Who you will see
Your care is delivered by shrinkMD clinicians, and you keep the same one over time. You meet by secure video with a clinician licensed in your state.
- Shariq Refai, MD, MBA, FAPA, founder and board certified psychiatrist (ABPN), dual board certified in psychiatry and in sports and performance psychiatry.
- Matthew George, PMHNP-BC, ANP-BC, dual board certified psychiatric nurse practitioner with more than two decades of clinical experience.
Learn more
More from a trusted source: Mental health medications - MedlinePlus.
Nearby areas
Medication Management in nearby Nebraska cities
Your next step in The Shrink Network
You are here: shrinkMD, the clinical care layer of The Shrink Network.
Each site in the network has one job. No matter where you enter, we help you find the next step that makes sense.
Get clinical care with shrinkMD
Want to understand more first?
Start medication management in Fremont
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Fremont residents, by secure video from home.
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