Your body, mind & soul.
Whether you or someone you know is suffering from Parkinson's Disease, Essential Tremor, Dystonia or some other movement disorder, we work tirelessly to find the best treatment plan for your condition and for you as a whole person. Coming from the best training the world has to offer, we pride ourselves on our depth of knowledge, our relationships to the most cutting edge treatment, and, most importantly, our compassion for our patients.
Dear patients –
We are writing with sad tidings to inform you that effective March 13, 2019, Dr. Sarah Kempe-Mehl and Dr. Erin Presant will be closing our movement disorders neurology practice called Central Coast Movement Disorders Specialists.
Over the past 24 months, private practice physicians have encountered increasing Medicare regulatory burdens/restrictions, which are now being felt most acutely by the smallest and most specialized practices, such as our own. These increasing requirements have steadily pulled us away from directly delivering patient care in clinic, and have had significant consequences for our business model. In addition, these changes will prevent us from being able to take the time in clinic we feel is necessary to provide comprehensive care for diseases as medically and socially complex as Parkinson’s disease. New Medicare changes would now require us to shorten our visit times to the point where we would no longer feel comfortable in the quality of care we could guarantee our patients. As physicians who want to provide high quality and safe care, these recent changes now significantly limit our ability to do this, and we feel that we can no longer operate with intergrity in this changing health care model.
Although it has been challenging, we have tried to keep our doors open as long as we could in the face of these many changes that are beyond our control. However, at this time we are no longer able to remain open. Therefore, Central Coast Movement Disorders Specialists neurology practice will regrettably be closing March 13, 2019.
We want to acknowledge that each of you had an expectation of us for being a resource for your neurology care and medication management for the future, and that our clinic’s closure will represent a hardship for many of you.
Please let the doctors and our staff know how we can help address the impact that our closure has for you, or your individual concerns, as we view it as our responsibility to make this as smooth a transition as possible for you – and we intend to do just that. In this way, we hope we may honor our word to provide you with comprehensive neurologic care for as long as we have together.
We are concerned that without planning ahead there could be interruptions in your prescriptions, as we will not be able to refill them after 3/13/19. Please see the following pages for answers to many of the questions you may have regarding refills and how to go about transferring your neurologic care, and please let our office know how we can assist in your planning ahead.
We truly wish that circumstances were different, and that our small practice had been able to weather these nation-wide health care policy changes. It has been our great honor to care for you, and we are very proud of the high quality of neurologic care we provided. It is going to be an exciting era for patients with Parkinson’s disease in the coming years, with many new medications, discoveries, and changing care models being brought to light, and we had hoped to be able share in these new breakthroughs for Parkinson’s care alongside you. We thank you for your past partnership and allowing us to contribute to your health care. In turn, you have each contributed to our lives in ways we never had anticipated. We remain grateful for the relationships formed at our neurology clinic, and will miss being a regular part of your lives. While the future professional paths for each of us as physicians remain uncertain, we hope to explore ways in which we may continue to serve as resources for our community, even if it is no longer possible for it to look as we had originally planned.
Most sincerely wishing you good health over the years to come,
Dr. Sarah Kempe-Mehl & Dr. Erin Presant
Anticipated patient questions
What do I do now?
Our recommendation is that you inform your primary care doctor and/or other neurologist(s) that you will no longer be able to receive care or refills after 3/13/19.
We recommend you arrange a follow-up appointment with your primary care doctor and/or request a referral to one of these alternative neurologists listed below.
If you already have an alternative neurologist, we recommend that you contact their office to schedule a follow-up appointment with him/her at this time.
How should I approach refills?
Once you have informed your primary care doctor and/or other neurologist(s) that you will no longer be able to receive care or refills from our clinic after 3/13/19, you will need to find one of these other doctors who agrees to take over the prescribing of your medications (at least until you have established your long-term plan for neurology care).
* PLEASE PLAN AHEAD. * If you call our clinic after 3/13/19 requesting a refill “just this one time,” or “please help I don’t know where to get this filled,” unfortunately there will be no doctor available to help with this refill.
I have a follow-up appointment in the coming months, what should I do?
If you are an established patient with a follow-up visit already scheduled before 3/13/19, and would like to keep your appointment, we will plan on seeing you at your scheduled time. If you know that you wish to cancel this appointment as part of transferring your care elsewhere, please call our office to cancel your appointment.
I’m a new patient still waiting to be seen, what should I do?
If you are a new patient scheduled before 3/13/19, and would like to keep your appointment (knowing that it will be only a single one-time visit with the doctor), you may. If you no longer wish to see the doctor for a visit knowing that you will not be able to establish care with her for the long run, please call our office and cancel your appointment.
If you are a new patient currently scheduled after 3/13/19, unfortunately we will not be able to accommodate seeing you at our practice. We are sorry for this inconvenience to you, and hope that you and your referring doctor will consider one of the alternative neurologists listed below.
How do I get my records transferred to a new provider?
Our office is happy to assist in forwarding your records from prior visits with Dr. Kempe-Mehl/Dr. Presant to your new neurologist/provider. To do so, we will need you to call to give our office permission to forward your medical information to the recipient you select. Our staff requests that you call to have your records sent to a new provider only AFTER you have a confirmed scheduled appointment date with the new doctor, otherwise new records are often misplaced when received by other offices prior to a patient having a scheduled visit. Our staff will have the capacity to forward only 1 copy of your records on for you, therefore please be specific in your request for our office staff.
Our office phone: 805-201-2050
Our office fax: 805-845-3120
List of alternative neurologists in Santa Barbara and neighboring regions:
Dr. Mark Corazza –phone 805-569-7115
Dr. Charles Curatalo –phone 805-682-8153
Dr. Phil Delio –phone 805-682-8153
Dr. Michael Gibbs – phone 805-682-8153
Dr. David Hardesty (Pismo Beach) – phone 805-547-2224
Dr. Neda Heidari (Oxnard) – phone 805-744-2141
Dr. James Sutton (Oxnard) – phone 805-278-4148
Cedars neurology department (several providers) –phone 310-423-6472
Sansum Clinic neurology department (several providers) – phone 805-898-3240
Stanford neurology department (several providers) – phone 650-723-6469
UCLA neurology department (several providers) –phone 310-794-1195