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NEW PATIENT?

Download your initial appointment paperwork from this page.

Please bring this completed packet, the financial agreement, your insurance card, a drivers license or ID, and the means to pay your co-pay, to your scheduled intake appointment.

Fill out, sign, and submit online

Valid email required.

New Patient Forms for Adults (pdf)

New Patient Forms for Children and Adolescents (pdf)

OFFICE FORMS

Credit & Debit Card Authorization Form (pdf)

Release of Information Form (pdf)

Privacy Practices (pdf)

Download forms to print

Return to the office by scan, fax, mail, or drop off

New Patient Forms for Adults (pdf)

New Patient Forms for Children and Adolescents (pdf)

OFFICE FORMS

Credit & Debit Card Authorization Form (pdf)

Release of Information Form (pdf)

Privacy Practices (pdf)

For SPRAVATO® specific forms, go to the SPRAVATO section of our site.

For DBT specific forms, go to the DBT section of our site.

RESOURCES

Below are some useful resources for our patients. If you are a new patent, feel free to download and bring them to your initial appointment.

Community Resources (pdf)

Mood Chart (pdf)

Mood Disorder Questionnaire (pdf)

NAMI (National Alliance on Mental Illness) Family Resources (pdf)

Tips for Dealing with Anxiety (pdf)

Tips to Maximize Therapy (pdf)

The purpose of psychotherapy (counseling) is to set people free... free from self-defeating symptoms... to experience their possibilities which results in freedom in life.
- Rollo Mary, Psychiatrist and Philosopher

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