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Psychiatry · Ages 4 and up

Support for mental health. Guidance for families. Answers when you need them.

Backpack offers virtual psychiatry for children, teens, and youngadults who may benefit from psychiatric evaluation, medicationmanagement, treatment planning, and ongoing support.
Our psychiatry team works alongside therapists, caregivers, andother providers to help young people feel better and function better— at home, in school, and in everyday life.
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When might psychiatry help?

Mental health challenges show up in different ways.

You don't need to know which department handles your question. Call, text, email, or send us a message and we'll connect you with the right team. We're real people, and we're happy to help.
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Difficulty focusing or paying attention
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Anxiety, excessive worry, or panic
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Persistent sadness or low mood
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Irritability or frequent emotional outbursts
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Challenges with emotional regulation
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Trauma-related symptoms
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School avoidance or academic stress
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Behavioral concerns or impulsivity
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Sleep difficulties related to mental health
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Ongoing symptoms affecting daily life
What we offer

A full range of psychiatric care.

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Psychiatric Evaluation

A comprehensive assessment tounderstand symptoms, concerns, history,and the treatment options that fit best.
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Medication Management

When medication may help, we workclosely with families to monitoreffectiveness, track progress, and adjustwhen clinically appropriate.
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Diagnostic Clarification

Sometimes families know something isn'tright but aren't sure why. We help clarifysymptoms and determine the mostappropriate next steps.
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Treatment Planning

Care works best when everyone sharesthe same goals. We help build aplan that may include therapy,medication, caregiver support, andschool collaboration.
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Care Coordination

With your permission, we collaborate withtherapists, primary care providers,schools, and others on your child'ssupport team.
What we support

Conditions and concerns we commonly support.

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ADHD & Attention

Support for attention, focus, and impulsivity, including medication management when clinically appropriate.
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Anxiety

Support for excessive worry, panic symptoms, schoolanxiety, social anxiety, andrelated concerns.
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Depression

Support for sadness, low mood, irritability, loss of interest, andchallenges affecting daily life.
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Mood & Regulation

Support for emotional ups and downs, irritability, frustration tolerance, andmanaging emotions.
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Trauma & Stress

Support for children andteens experiencing trauma-related symptoms and adjustment challenges.
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OCD Symptoms

Psychiatry works alongside therapy to support obsessive thoughts and compulsive behaviors when appropriate.
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School & Behavior

Support for symptoms affecting attendance, learning, focus, relationships, or participationat school.
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Autism-Related

For kids with autism, psychiatrymay help with co-occurringanxiety, depression, irritability, or regulation.
Why Backpack

What makes Backpack different?

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Pediatric specialists

We focus entirely on children,
teens, and young adults.

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Care that fits family life

Appointments from home,
school, or wherever life happens.

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Team-based care

Psychiatry works alongside
therapy, caregiver support, and coordination.

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Measurement-based

We track symptoms over time with evidence-based tools to guide decisions.

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Fast access

Most families begin care within days, not months.

Common questions

Frequently asked questions.

Does every child who sees a psychiatrist receive medication?
Backpack Healthcare is a mental health practice that provides therapy, psychiatry, and psychological evaluations for children, teens, young adults, and their families. We deliver care virtually and in-person, and we accept Medicaid as well as a growing list of commercial insurance plans.
Can psychiatry and therapy work together?
Our founder Hafeezah Muhammad started Backpack in 2020 after struggling to find timely mental health care for her own son, who was on Medicaid. She learned that millions of children on Medicaid face the same barrier, and built Backpack to fix it.
Can Backpack diagnose ADHD?
Three things: we specialize exclusively in children and families, we accept Medicaid (only about 30% of behavioral health providers do), and we get most patients into care within 3 days instead of the usual months-long wait.
Do you provide autism testing?
We are a licensed clinical practice with over 100 clinicians on staff, including therapists, psychiatrists, and psychologists. We also offer a companion app for support between sessions, but the core of what we do is real human therapy and psychiatric care.
What is telehealth?
Telehealth is the use of technology to provide health care virtually. All Hazel visits are "virtual visits," through a tablet, desktop, or other smart device.
How do I request medical records from Hazel Health?
If you are a legal guardian, patient, or a third party / authorized representative and would like to obtain a copy of medical records, please follow these steps:
•  1. Obtain the ROI Form. Please download our Hazel Health Third Party Release of Information form.
•  2. Complete the form. To ensure a timely response, please sign and complete all fields indicated within the form.
•  3. Submit via Email. Send your fully completed and signed form to our Medical Records Department at medicalrecords@hazel.co.
How does Hazel manage therapist caseloads and ensure quality?
Hazel clinicians maintain manageable caseloads and receive ongoing supervision and clinical support. This ensures students receive attentive, consistent, and high-quality care.
Learn more about our mental health program here: https://www.hazel.co/programs/mental-health
Does Hazel replace in-person therapists or school counselors?
No. Hazel is not a replacement for school social workers, counselors, or community therapists. Hazel is meant to serve as an additional layer of support so students don’t face long waitlists or go without care when schools and communities are stretched thin.
We also strongly support continued investment in in-person mental health resources so that all young people can access the full range of care they deserve.
Can law enforcement or immigration authorities access my child’s information?
Hazel maintains the confidentiality of all care and does not share information with law enforcement or immigration authorities, except when disclosure is legally required. Protections include HIPAA, FERPA, SOPPA, and other applicable privacy laws.
Does Hazel record therapy sessions or use them to train AI?
No. Hazel does not record sessions or use therapy conversations to train AI or develop products. All sessions are private medical visits protected by federal and state law.
What are the hours of operation?
Mental health services are available 7am-7pm local time, Monday through Friday. Online medical care is available 7am-5pm local time, Monday through Friday. Crisis consultations are only available at school, during school hours.
Is Hazel for emergencies?
Hazel is not a replacement for the emergency room or crisis services. If a child needs immediate medical attention, call 911. For urgent mental health support, you can also contact the 988 Suicide & Crisis Lifeline or your local crisis line.
What does Hazel treat and not treat?
Hazel protocols and guidelines are evidence-based and grounded in the American Telemedicine Association and American Academy of Pediatrics guidelines. For anything outside of our scope, we will call the legal guardian to recommend next steps.
See common issues we treat in our mental health and physical health programs.
Can my child be in a different state than where they attend school for an at home visit?
No. According to laws governing telehealth, students must be physically present in the same state as where their telehealth provider is licensed. This means if they are out of state, they will not be able to join the visit.
How do I sign my child up for Hazel Health?
Create an account at www.my.hazel.co/patient/signup. In the enrollment process, you'll need to provide your consent (each child needs one consent form completed).
What ages does Hazel work with?
Hazel Health supports all K-12 students for physical health and mental health needs. In some cases, we can see children as young as 3 years old, but mental health referrals are generally for children ages 6 and older.
Where are Hazel services available?
Services are available in select US school districts. See what services are available in your school district by visiting https://www.hazel.co/get-started
What if my child does not have a primary care provider?
Hazel will work to develop relationships with community providers and can assist in identifying available primary care providers.
Does Hazel schedule appointments?
Physical health visits are available within minutes. Mental health therapy sessions are scheduled in advance. Parents can schedule the first appointment themselves (provided the child is not already in treatment elsewhere).
Schedule your appointment by creating an account.
What if my child already has a primary care provider?
Hazel is not a replacement for your child’s regular doctor. If your child has an established primary care provider (PCP), you should maintain that relationship and follow the Well-Child Visit schedule (one visit every year for school-age children 5 to 18). Hazel is committed to communicating with the student’s PCP. Hazel can coordinate with students’ PCPs when clinically appropriate to ensure continuity of care. Communication to external providers can only occur if the legal guardian has given written consent, obtained during Hazel sign up.
Who are Hazel's providers and what are their credentials?
Physical health providers are state Licensed Physicians, Nurse Practitioners and Physician Associates. Mental health providers are licensed Social Workers, Marriage and Family Therapists, Licensed Professional Counselors, and Licensed Mental Health Counselors.
All Hazel clinicians receive ongoing supervision, training, and quality oversight to ensure students receive consistent, compassionate, and clinically sound support.
Learn more about our care team: hazel.co/company/care-team.
Do Hazel providers speak languages other than English?
Yes, ~40% of Hazel's providers are bilingual, speaking 30+ languages collectively, including English, Spanish, French, Haitian Creole, Vietnamese, Gujarati, Armenian, Croatian, Korean, Tagalog, Lokano dialect, Hawaiian Pidgin, Samoan, Sign Language, and more.
How many therapy sessions does each child get?
Each student can typically expect an intake visit plus six weeks to two months of weekly sessions. Hazel is not meant to replace long-term, in-person therapy. Our goal is to provide timely support and help families get connected to ongoing community care when needed. Our clinicians work closely with families to determine the right level of care.
How are students referred to therapy?
School staff, legal guardians, and Hazel physical health providers can refer students to therapy. If you are looking to refer your child to Hazel therapy and your child is actively enrolled in a Hazel partner school, please start by creating an account: https://my.hazel.co/patient/signup
Not sure if your school is partnered with Hazel? Search for your district here: https://www.hazel.co/get-started
Can students who have already participated in the Hazel mental health program re-enroll?
Our clinical team will use their discretion to determine whether a student can re-enroll in mental health services, factoring in time since discharge and previous session attendance and program outcomes. If a new clinical concern has arisen, or at least sixty days have passed since the student was discharged and thorough follow-up with the long-term resources Hazel previously provided (if applicable) has been attempted, Hazel may be able to support re-enrollment.
How many physical health visits does each child get?
There is no limit on the number of visits.
Can Hazel provide sexual or reproductive health services?
Hazel Health will not evaluate or treat symptoms related to sexually transmitted infections or pregnancy, nor prescribe or recommend contraception.
Can Hazel providers refer my child to a specialist?
Hazel providers will communicate with your child’s primary care provider when a referral to a specialist is needed. Most insurance companies (including Medicaid) require that referrals to specialists are made directly by the primary care provider.
Does Hazel offer immunizations?
No, Hazel does not offer immunizations.
How much does Hazel cost families?
For the current school year, Hazel Health services are available at no out-of-pocket cost to families. Hazel bills insurance the same way any healthcare provider would, but students are never turned away based on insurance status, and families do not receive bills from Hazel.
What if a student does not have an insurance card?
If an insurance card is unavailable, the parent/guardian should complete as much information as possible on the consent form. The parent/guardian can call Hazel Health anytime with additional details if available.
Will Hazel Health cover the cost of prescriptions from a Hazel Health visit or fees associated with referrals made?
Over-the-counter medication administered during a Hazel Health visit at school is provided at no cost. If a Hazel provider recommends a prescription from a pharmacy or a referral to an outside provider, the family is responsible for any out-of-pocket cost.
An Explanation of Benefits (EOB) was received in the mail, is money owed to Hazel?
Hazel bills insurance to cover the cost of the visit whenever possible, so there is no out-of-pocket cost for families. Once a visit is completed, a family may receive an explanation of benefits (EOB) in the mail. If an EOB is received, this is NOT a bill. The EOB is a record indicating a visit occurred and was billed to insurance, not to the student/family. No additional action is needed.
Why is insurance information required for a Hazel visit?
Hazel Health has partnered with your school to cover your cost of services so that there is no cost to your family. We will bill your insurance to cover the cost of your visit, so there is no cost to you. Insurance details never affect whether a child can receive care.
Is Hazel HIPAA compliant?
Hazel Health is a licensed healthcare provider and maintains policies and procedures designed to comply with HIPAA, FERPA, SOPPA, and applicable federal and state privacy laws, as appropriate to its services and data handling practices.
Is my child’s medication information shared with school site personnel?
Yes, under Family Educational Rights and Privacy Act (FERPA), medical records can be shared with the appropriate credentialed administrators (ie. principals) under FERPA. Therapy session content is private medical information and is not shared with schools.
Does Hazel administer COVID-19 vaccinations?
No.
How is patient information protected? Who can access it, and is it ever sent to a third party?
Hazel protects all student information using HIPAA- and FERPA-compliant systems, with full encryption and secure access controls.  With the appropriate written consent, Hazel Health shares patient information such as date of birth, name, gender, allergies, summary info about medications, and other information (e.g. what’s on the consent form) with the school and for insurance verification and billing.
Information is solely used for care coordination, insurance billing, or as outlined in Hazel’s Notice of Privacy Practices within our Privacy Policy. Hazel does not sell data, does not use information for advertising or product development, and does not share data with any government entity unless required by law.
What if I have more questions?
You can contact Hazel directly at 1-800-76-HAZEL or visit this page for more information.
Can my child see a Hazel therapist if they are also receiving care from another therapist in my community?
In alignment with mental health industry standards, we cannot duplicate counseling services that are already being provided by another therapist. Please let your therapist know if you are receiving any other mental health services during your intake visit so that they can determine whether it is clinically appropriate to pursue Hazel’s program.
Will Hazel Health bill insurance for a visit without notifying the parent/guardian?
If the parent/guardian has consented to Hazel Health’s services, then the parent/guardian has consented for Hazel Health to bill insurance for services rendered.
Are there options for a family to pay a cash price?
Currently, Hazel Health does not bill families or accept direct payments from families for our services.
If the student has insurance separate from the parent/guardian, are they the policyholder?
When filling out insurance information on the consent form, the parent/guardian should look at the insurance card for the student, or an online portal from the insurance organization, to find the correct information. In many cases, each student will have insurance and be the policyholder. If the student’s insurance card is available, the parent/guardian should send us a photo of the front and back via the link text from the Hazel Health system.
If the student has insurance, but the parent/guardian does not have the information, how will this affect the consent being approved?
At this time, the consent will be processed as usual. Additional outreach to the family will be conducted if needed during a mental health referral or physical health visit.
Will a Hazel Health visit count toward an insurance deductible?
Hazel Health visits can count toward an insurance deductible. Hazel currently cannot research individuals’ insurance coverage terms. To better understand how a Hazel Health visit could impact a deductible, we encourage families to contact their health plan to ask any questions about the plan's coverage and benefits for each child.
Hazel Health does not bill families directly, and there are no out-of-pocket costs for health visits. No additional action is needed if a health plan does not cover a claim or a visit is denied.
Is a diagnosis required to bill insurance for services?
Providing a diagnosis is the standard of care for healthcare services and occurs regardless of billing when clinically appropriate.  As part of our physical health services and mental health intake process, our providers use their clinical judgment to provide a diagnosis, which can help determine the best treatment methods and modalities for the child.
To bill a visit, a diagnosis is required for both mental health and physical health visits, but as outlined above, a diagnosis is a fundamental aspect of our care delivery.
How is insurance information protected? Who can access it, and is it ever sent to a third party?
All student health and insurance information shared with Hazel Health is confidential and in compliance with HIPAA, Hazel’s Notice of Privacy Practices and Consent, and state privacy laws. Student information is stored on Hazel Health’s highly secure, fully encrypted digital records platform.
Hazel never sells or licenses student information, and it is never shared with any third parties outside of what is necessary for continuity of care and additional coordination efforts. In these cases, Hazel Health may share insurance information with other healthcare entities (e.g., pharmacies, health plans, or community-based organizations for continuing care) as outlined in the Notice of Privacy Practices and Consent.
Hazel and Hazel Health’s employees may view insurance information for consent review, insurance review, and billing. Hazel partners with third parties for specific insurance and billing-related functions, with whom data is shared in a HIPAA-compliant manner. Hazel and Hazel Health will never sell the information to a third party.
Can undocumented students use Hazel Health?
Yes. Citizenship status is not required for students to use Hazel Health services. Immigration or citizenship status is never collected and is never required to receive care. Hazel is committed to providing a safe, supportive space for every student.
What if a student wants to consent to mental health services without their parent or guardian knowing?
Some states do allow minor consent. Two things must be true in order for students to consent for themselves: (1) they are of the right age based on state’s laws and (2) the district where their school is located has opted in for minor self-consent through Hazel. All documentation related to these visits is only accessible to the student. No information about these visits is released to the schools or districts.
Get started

Getting help shouldn't be complicated.

Whether you're looking for answers, exploring medication options, or trying
to better understand what your child is experiencing — our team is here
to help.
In crisis? Call or text 988. Backpack isn't a crisis service.
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