Nick Nowak

For clinicians

Clinician Consultation Services

Expert pharmacological guidance at the intersection of conventional psychiatry and emerging therapies.

These services are currently on pause. If you have an urgent clinical need, reach out directly at nick@clinicaltocommercial.net

The gap this fills

Patients are arriving at clinical encounters with complex medication regimens and questions their prescribers weren't trained to answer. Psychiatric medications interact with emerging therapies in ways that are clinically significant, underrecognized, and rarely documented in standard references.

This service exists for the clinician who needs a knowledgeable resource — fast, accessible, and without the overhead of a formal referral.

Who this is for

Clinicians & Prescribers

Medication safety consultation, interaction checks, tapering guidance, and protocol support for patients navigating medication changes alongside alternative or transformational therapies.

Retreat Centers & Therapists

Medication safety consultation for facilitators who need a knowledgeable medical resource without a clinical hire. Structured as expert consultation, not direct patient care.

Drug Companies & Clinical Trial Sites

Working on a clinical trial or drug development program?

Let's talk →

Services & pricing

Async consult

Signal message exchange, 48hr response

$75
Join waitlist

Quick consult

15-min video, intake reviewed in advance

$125
Join waitlist

Full workup

Detailed written pharmacology report, 48hr delivery

$350
Join waitlist

Direct access

$350/month
  • · Unlimited messaging via Signal
  • · 24-hour business day response SLA
  • · 1 standard video consult included per month
  • · Message anytime. Hear back within 24 business hours.

Cancel anytime — no questions asked — via your billing portal.

Join waitlist

For retreat centers and multi-clinician teams: Inquire for group rates →

What a full workup includes

A structured pharmacological analysis delivered as a written report within 48 hours of intake submission:

  • · Executive summary with overall risk profile
  • · Substance-by-substance interaction breakdown by severity
  • · CYP enzyme pathway analysis where relevant
  • · Tapering sequence with clinical rationale
  • · Safety considerations and monitoring recommendations

Modeled on the clinical documentation standards used in specialty pharmacy and hospital consulting — not a general reference summary.

How it works

  1. 1

    Submit intake form

    Medication list, diagnosis context, clinical question, and day/time preferences

  2. 2

    Pay via Stripe

    Secure checkout, instant confirmation

  3. 3

    Nick confirms timing

    For video consults, Nick reaches out within 24 business hours to confirm a specific time. For async, Signal handle is provided in your confirmation email.

  4. 4

    Receive your consult or report

    Within the agreed response window

Submit intake form →

Clinician Consultation — Not Direct Patient Care

My consulting services are clinician-facing. I work with prescribers, not their patients. You retain full clinical authority and the patient relationship. I provide pharmacological expertise to inform your decision-making.

What this means in practice:

  • · I consult with you — the clinician
  • · I do not evaluate, counsel, or document care for your patients
  • · All treatment decisions remain yours
  • · Engagements are structured as expert consultation, not pharmacy services

On licensure: As a licensed pharmacist in multiple states, clinician-to-clinician consultation does not constitute practicing pharmacy in your state. State pharmacy practice acts regulate dispensing and direct patient care — not expert advisory relationships between clinicians.

Every engagement includes a written consulting agreement defining scope, role, and boundaries — protecting both of us.

Consultation services are provided to licensed clinicians only. This is not a patient-facing service and does not establish a pharmacist-patient relationship. Not legal advice.