ADHD Maintenance Therapy for Established Patients
This practice provides continuation of care only for patients with a previously established diagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD). Care is focused on maintaining treatment continuity, monitoring response, and supporting safe, appropriate follow-up.
Dr. Marina Gafanovich, MD
- Board-Certified Internal Medicine
- 20+ Years of Clinical Experience
- Sunny Isles / Miami Office
- Continuation of Care Only
Ongoing ADHD care should be structured, documented, and clinically appropriate
Continued support for patients with a previously established ADHD diagnosis
What ADHD continuation care may include
Review of prior ADHD diagnosis documentation
Review of treatment history and current therapy
Medication review when clinically appropriate
Regular follow-up appointments
Monitoring of treatment response and side effects
Reassessment of care plan when needed
A Simple Path to ADHD Continuation of Care
Share your contact information and request ADHD continuation care.
Our team will explain next steps and what documentation is required.
Records confirming ADHD diagnosis and treatment history must be reviewed.
Dr. Marina reviews your history, current treatment, and clinical appropriateness.
Follow-up care may continue within the concierge model when clinically appropriate.
Care is available only for established ADHD diagnosis and treatment history
- Prior medical records documenting an established ADHD diagnosis and treatment history are required.
- New diagnostic evaluations for ADHD are not performed by this practice.
- Treatment is limited to continuation of existing therapy when clinically appropriate.
- Ongoing care requires regular follow-up appointments for monitoring and reassessment.
- Management is conducted in accordance with current clinical guidelines and applicable state and federal regulations.
- The practice reserves the right to modify or discontinue treatment if clinical, safety, or regulatory considerations arise.
Already Have an Established ADHD Diagnosis?
Dr. Marina Gafanovich, MD
Internal Medicine Physician · Concierge Care
Why Dr. Marina Gafanovich
Dr. Marina Gafanovich is a board-certified internal medicine physician with over two decades of clinical experience. Her approach to ADHD continuation care focuses on treatment continuity, monitoring, documentation review, and safe follow-up within an established physician–patient relationship.
Board-Certified Internal Medicine Physician
Experienced in evaluating adult patients across a wide range of medical concerns.
20+ Years of Clinical Experience
A depth of clinical judgment built through years of patient care.
Continuity-Focused Care
Follow-up care designed around documented history and ongoing monitoring.
Sunny Isles / Miami Office
Convenient care for patients in Sunny Isles, Miami, and surrounding areas.
Documentation Required for ADHD Continuation Care
- Prior ADHD diagnosis documentation
- Treatment history from previous provider
- Current medication list
- Recent visit notes, if available
- Relevant mental health or medical history
- Pharmacy history, if requested
- Previous response to treatment and side effects, if documented
Virtual follow-up may be available when appropriate
ADHD follow-up visits may be conducted via telehealth when clinically appropriate and in accordance with applicable regulations. The availability of virtual care depends on the patient’s situation, documentation, and physician judgment.
Real Feedback From Real Patients
Uri Soroka I've been seeing Dr Marina Gafanovich for years now (when she was in NYC - she may be still is) and shes honestly one of the last "real" doctors left out there. She helped us through some really tough times, thick and thin, even stepping in when she didnt have to at all. She actually listens, does a proper diagnsis instead of just rushing you out, and treats you like a person n. she truely stands out as someone who cares. Marina Pankina I had a wonderful experience with my doctor and her team on completion of my immigration medical clearance. The service was extremely efficient and professional from start to finish. Everyone was kind, attentive, and made me feel truly well cared for. It’s clear the whole team is dedicated to providing excellent care, and I am very grateful to everybody. I would highly recommend this practice. Thank you very much, Doctor! Ella Smelyanskaya My family and I were lucky enough to be referred to Dr. Marina Gafanovich almost 20 years ago. I have never experienced a physician that is as thorough and comprehensive, and takes the time to really understand you as an individual. As a health care provider, myself I have seen too many doctors that are more into running a business than taking honest care of patients. Appointments with Dr. Gafanovich are personal, comprehensive, unrushed and readily available. Dr. Gafanovich and her staff clearly stand out above the rest in treating their patients like family. Larisa Sheihet Dr. Gafanovich provided outstanding care throughout my entire experience, from diagnosis to recovery. Her meticulous attention to detail and genuine concern for my well-being made a significant difference. She even took the time to follow up with me personally, ensuring I was feeling better. Dr. Marina Gafanovich is an exceptional doctor who truly listens to her patients' concerns and responds accordingly. In today's fast-paced world, it's rare to find a doctor who takes the time to listen and provide personalized care. Dr. Gafanovich's office staff is also pleasant and competent, making the entire experience even more impressive. I have complete confidence in Dr. Gafanovich's ability to address any healthcare concern I may have, and I highly recommend her to anyone seeking exceptional medical care. S A Dr. Gafanovich has been my PCP for 10+ years between NYC & FL. As a healthcare provider myself, I can confidently say she is one of the best physicians I've ever interacted with. She is compassionate, intelligent, efficient, and is always transparent with communication. She provides a level of personalized service that is is often hard to find - whether it be annual physicals, travel & clinical vaccinations, or last-minute calls. Her office staff are highly competent and always willing to help whether it be scheduling, pharmacy, or labs. I would recommend her concierge medical service to anyone! Tom Stewart Dr. Marina Gafanovich has been my internist for over 15 years. I am beyond grateful that Dr. Gafanovich has been in my life. Through all of my health issues, cancer treatments and recovery she always followed up with checkups, advice and health guidance. I am a 77 year old man who continues to enjoy good health and a very happy life because of her excellent care. Tom Stewart Palm Beach T. B. I feel so lucky to have found Dr. G when I first moved to New York City 4 1/2 years ago. Another doctor had recommended her for some bloodwork that I needed done, and I immediately knew that she would be my general practitioner going forward. She is intelligent, kind, thorough and truly cares about her patients. She’s got that old school family doctor feel to her office & practice. You feel seen & heard, not lost in a big office with lots of doctors & hundreds of patients coming & going. Natalie Shor Dr. Gafanovich is honestly one of the best doctors I’ve ever had. She’s really knowledgeable and explains things in a way that’s easy to understand, without ever making me feel rushed or uncomfortable. She listens carefully, asks helpful questions, and you can tell she truly cares about her patients. I always feel safe and supported during my appointments. I’m really grateful to have her as my doctor and would definitely recommend her to anyone looking for someone kind, professional, and trustworthy. Vita Lipyanskaya Dr. Marina Gafanovich is our family physician for many years. As a physician highly educated and dedicated . If any problems she is ready to help 24/7. I am recommending her for everyone who needs qualified and great personality doctor. Elina S "Dr. Gafanovich is an absolutely exceptional primary care physician, and we are so grateful she has been our family doctor for many years. She consistently exhibits remarkable patience, always taking the necessary time to listen fully to every concern without rushing. Her knowledge is evident in the thorough and comprehensive care she provides. We always feel heard, respected, and fully confident in her treatment plans. Highly recommend for anyone seeking a truly caring and expert doctor.
Who This Service Is For
ADHD continuation care may be appropriate for patients who already have a documented ADHD diagnosis and need ongoing physician follow-up within the concierge care model.
Patients With Prior ADHD Diagnosis
For patients with existing documentation of ADHD diagnosis.
Patients Continuing Existing Therapy
For patients seeking continuity of established treatment when clinically appropriate.
Patients With Prior Medical Records
For patients who can provide records confirming diagnosis and treatment history.
Patients Needing Regular Follow-Up
For patients who understand that ongoing monitoring is required.
Concierge Members or Inquiries
For patients interested in ADHD care within the concierge model.
Patients Seeking Safe Monitoring
For patients who value structured follow-up and clinical oversight.
What ADHD Continuation Care Supports and What It Does Not Provide
ADHD Continuation Care Supports
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Review of prior ADHD diagnosis documentation
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Continuation of existing therapy when clinically appropriate
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Medication review and monitoring when appropriate
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Regular follow-up appointments
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Treatment response and safety monitoring
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Care within an established physician–patient relationship
ADHD Continuation Care Doesn't Provide
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New ADHD diagnostic evaluations
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Guaranteed medication prescriptions
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Continuation of therapy without records review
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Emergency psychiatric or medical care
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Treatment that conflicts with clinical, safety, or regulatory considerations
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A plan without physician evaluation
For emergencies, call 911 or go to the nearest emergency room.
Questions, Answered
Prior medical records confirming an ADHD diagnosis and treatment history are required before care can be continued. Records are reviewed to support safe and appropriate management.
When clinically appropriate, continuation of existing therapy may be provided. Medication decisions are made based on medical history, response to treatment, documentation, ongoing monitoring, and physician judgment.
Regular follow-up appointments are required to monitor response to treatment and support safe continuation of care. The frequency of visits is determined on an individual basis.
Yes. Follow-up visits may be conducted via telehealth when appropriate and in accordance with applicable regulations.
ADHD continuation visits are provided within the concierge care model. Details regarding scope of care and follow-up expectations are discussed directly with patients.
To begin, submit a membership inquiry form and a member of our office will contact you to discuss next steps. You may also call the office directly for additional information.
Need Continuity for Established ADHD Care?
Talk with our office about documentation requirements and whether ADHD continuation care within the concierge model may be appropriate for you.
After You Request Information
After you submit the form, our team will contact you to answer questions, explain documentation requirements, and help you understand whether ADHD continuation care may be appropriate within the concierge model.
Submit Your Request
Speak With Our Office
Provide Prior Records
Schedule Your Physician Visit
Review Next Steps
Request ADHD Continuation Care Information
Share a few details and our office will reach out to discuss documentation requirements, concierge membership, and next steps.
