On the website, Treatment Pathways provides numerous choices for starting treatment, both on-line and on-site as well as through other communication tools such as email, telephone conferencing or video conferencing.

If you wish to seek care at Maimonides International Nightmare Treatment Center in Albuquerque, New Mexico, select the option Becoming a Patient, which will explain how to seek care on-site.

Also, you can download our clinic brochure that provides many details about visiting our clinic in New Mexico.

Last, if you prefer to speak to someone about becoming a patient on-site, then use our Nightmare Helpline, and your questions will be answered by our Nightmare Health Educator.

Maimonides International Nightmare Treatment is located in the state of New Mexico and, therefore, holds that any encounter with patients occurs under the jurisdiction of the state of New Mexico.

Your locale may perceive such encounters differently and therefore you are advised to contact your doctor or your local medical board to determine if there are any legal constraints that would prohibit seeking care with us.

Given that treatment for nightmares and other sleep disorders often represent highly specialized care, local medical board laws often appreciate that you may otherwise be unable to find treatment for your problems at the local level.

If you discuss your problems with your primary physician or other healthcare provider, you can request a referral to Maimonides Nightmare Treatment on the grounds that you have been unable to successfully seek help for these problems in your area. On a humanitarian basis, if you require treatment for something which you have been unable to find treatment for in your area, then it is likely to be perceived as a reasonable course of action to seek care outside of your area.

In pursuing such a course, you may want to discuss these points with your physician who can then send a referral to the our center in New Mexico. In such instances, the Center will maintain regular contact with the referring physician to apprise him or her of the specialized treatment being provided to you. In this way, you remain technically under the care of your primary doctor who has sought additional and temporary assistance in the management of your care for these sleep-related problems.

If you prefer more clarification of telemedicine issues prior to seeking consultation at the Center, you could write your local board requesting advice or a ruling about your situation.

Treatment at Maimonides International Nightmare Treatment requires that a formal doctor-patient relationship be established. Until such a relationship is established, medical advice cannot be provided to patients seeking answers to questions about medical care. All of your records are kept confidential as in any other doctor's office although at the Center we will e-mail copies of your records to you for your personal files or to assist you with discussions with other health care providers or for reimbursement purposes.

The only major distinction about telemedical treatment is that there is no availability for a physical examination. And, there is no direct in-person encounter unless you choose to travel to New Mexico. Videoconferencing over the Internet may therefore be essential in certain cases where it may be important to monitor a patient's responses to treatment although telephone and e-mail communication will often suffice.

If a physical examination is indicated, Dr. Krakow will make appropriate suggestions on what type of doctor to schedule an appointment with and what type of physical examination is needed. In many such instances, the most likely contact will simply be your primary health care provider.

Fees vary depending upon whether you seek care through our on-line services or on-site at our sleep center.  Generally, services are billed according to hourly rates for either direct patient care or administrative support. 

No direct payments or referrals through health insurance carriers will be accepted by the Center; however, you will be provided with physician notes that contain full documentation of your evaluation and treatment plans. In some instances, you may be able to use these documents to obtain reimbursement from your health insurance plan.

You are welcome to pursue coverage for services provided at the Center through traditional means of primary care referrals, preauthorizations and so forth; however, there is no need to inform us of this intention as all medical notes will be provided directly to you in a timely fashion, usually within 2 working days after completion of any appointment.

As a reminder, all payment for services must be provided directly from the patient or a responsible party representing the patient at or before the appointment.

All payments are the responsibility of the patient receiving services, and all fees for treatment services must be paid at or before the date of service. If a credit card is used, then payment can be made on the day of the consultation at the completion of the appointment. If a check or money order is the method of payment, it must be received by the Center prior to the date of the consultation.