Frequently Asked Questions
About Dr. Neubrander's Clinic

The Road To Recovery Clinic is a consultative practice primarily based on biomedical treatments for treating chronic illness and immune system issues that result in developmental or neurocognitive delays. Although we are well known for our work with autism, we also treat allergies, Crohn's disease, ADD, ADHD, PANDAS, and various gastrointestinal disorders.

A common misconception is that the clinic only works with children. This is an incorrect assumption. Adults also can have issues with chronic illness or immune dysfunction and could benefit from our therapies. It just happens to be that most of our patients are newly diagnosed with autism and find us through the autism community. The bulk of these are patients under the age of 10. Hpwever, for most of our protocols, age is not a limiting factor.
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Because we are not a walk-in clinic and our procedures are different from a typical doctor's office, we ask that you call and speak to the office manager and let him go over the process to becoming a patient.

Call (732) 906-9000 and ask to speak with Rick about becoming a new patient. Typically these calls take 15-20 minutes, so please call with this amount of time available to you.
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It is actually better to start with what needs to happen before the initial visit. When you book your appointment, you will be given a password to the paperwork that you will need to complete before you arrive. If you are dealing with autism spectrum issues, the paperwork is quite involved and averages about 10 hours to complete. For the non-ASD patients, the paperwork is much shorter and less time is required to complete it.

On the day of your appointment you will need to come with the completed paperwork as well as the patient! A standard physical exam needs to be performed on the patient. Afterwards, you will then meet with the doctor. The time with the doctor will vary depending on the reason for your visit. For the first visit, the amount of time that will be needed with the doctor will be determined by the office manager when you call to set up the appointment.
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When you leave the office, you will be handed a Signout Report, Lab prescriptions and any necessary handouts. Prescription medications will be faxed to the pharmacy directly. It is advisable that the labs be drawn and processed as soon as possible as it takes about three weeks for the results to come in. You should call the office to schedule a follow up appointment after you employ the clinician's treatment protocol(s). Be sure to read the Signout Report as it will tell you when and for how long to schedule the follow up appointment. When you schedule an appointment, make sure to tell the staff if you are reviewing any labs in addition to the regular follow up needed for treatment. If you do not let the staff know that you have labs to review then the staff will not schedule the necessary time to review those results with the doctor.

You will receive by email an Opens List (a list of issues to keep open and in front of our eyes), the Physical Exam and an Invoice about 3-5 weeks after your initial visit. It takes time for the doctor to read through your paperwork to create the Opens List. As soon as the doctor has finished the Opens List, we send an email to you to keep for your own records.
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We are not a first-care responder. You will still have to see your regular doctor or pediatrician for you normal health issues. Our clinic primarily provides treatment for the chronic or developmental issues the patient may be experiencing.
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As most of the conditions we treat do not have a known "cure", we do not have the ability to offer a definitive prognosis. However, when adherent to our advised protocols, we do experience normalized bell-shaped curves in patient improvement(s). There is a group of patients that have lost their diagnosis, another group that has significantly improved, a group that has demonstrated moderate improvement, and another group that has shown slight or mild improvement. As each patient responds differently, without a magic crystal ball, we cannot quantify how much improvement you will see; yet the vast majority of our patients do improve using our protocols.
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Our clinic is unable to to accept any insurance and is considered "out of network." It is your responsibility to contact your insurance company before committing to our program in order to determine the exact policies of your insurance plan. We will provide all of the documentation required by your insurer so that you may get reimbursement if possible, but since many of the treatments are considered off-label or not the "usual standard of care," there is no guarantee that you insurance company will reimburse you for any of our treatments. Please note that if you choose to submit our invoice to your insurance company, telephone consults generally are not covered by insurance.
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We have two options available. There is a physician assistant on staff, Justin Neubrander. A physician assistant/associate (PA) is a healthcare professional trained and licensed to practice medicine with limited supervision by a physician. Physician assistants work in hospitals, clinics, and other types of healthcare facilities and exercise autonomy in medical decision making as determined by their supervising physician. Physician assistants conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, can assist in surgery, and write prescriptions.

As our PA does not have the experience that the doctor has, we can offer his services at a significantly reduced rate compared to the doctor's rate. Does this mean you are receiving a lower standard of care? No it does not since the PA will do the office/phone consult, write a summary of the appointment, his recommendations, and then review this with the doctor. The doctor will then approve it or make alterations to the treatment plan(s). All cases will be reviewed by the doctor so that the standard of care received is not lower by working with a PA. Essentially, you get a qualified medical professional taught by the doctor on how to treat autism, gut issues, allergies, etc. but at a much lower cost.

So what are the drawbacks to working with a PA? Experience. The PA may not immediately know an answer to a question and will have to present it to the doctor and get back to you with an answer. He will know how and when to use the doctor's standard lab tests but may not know of a non standard test that might fit your situation better. Also, there may be procedures the doctor has not as yet trained the PA in how to administer and if you are in need of those protocols you may have to see the doctor for that treatment or test.

The second option to help with finances is that we have a weekly budget plan. As follow-ups are performed initially about every six weeks, we can estimate the average cost of these visits for either the doctor or the PA and will accept a weekly pre payment of one sixth of the average visit. If at the time of your office visit you are within $50 of the appointment, we will finance that amount into the next weekly budget plan. If you are over $50, you will need to pay the difference at the time of service.

This plan allows you to put aside a small figure each week and not be hit all at once with a fee that you did not budget appropriately for.
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