Asynchronous Visits

Flexible. Secure. On Your Schedule.
Asynchronous visits let you complete a clinical check-in using a secure video recording whenever it’s convenient for you.
This option allows for thoughtful care — on your timeline, fully documented, and always reviewed directly by me, Dr. Rafiq.
What is an asynchronous visit?
You record a secure video describing your concerns, updates, or questions at a time that works for you. I review your video on the next business day. There are no scheduled appointments or waiting—it fits your schedule.
Response timeline
I review and reply to all asynchronous submissions on the next business day, excluding weekends and federal holidays. You’ll always know when to expect my expert response.
How your response arrives
You’ll receive my written clinical response as part of your secure documentation. If your concern needs a conversation, I’ll invite you to schedule a live follow-up.

Controlled Substances Policy

For your safety and to meet New York State requirements, any prescription for controlled substances always requires a scheduled live video or in-person visit.
I do not prescribe or manage controlled substances—including stimulants—through asynchronous submissions. If you have questions or needs relating to these medications, please schedule a live appointment.
If you’re unsure or have further questions about this policy, feel free to reach out or bring it up during your next visit. I want you to feel comfortable and informed about how care works here.