Become a Patient

Complete the Prospective Patient Form and we will call you with more information

prospective patient form

While you are waiting, you can complete the Release of Information Form, send it to your current Psychiatric and Primary Care providers to get your medical records sent to us to speed up the process.

release of information

When we call, we will explain how to set up the patient portal. Shortly after that is set, you will receive some of the following forms to complete. If you want to take a look now, here they are!

clinical history forms
information and consent forms
privacy practive information
Telehealth consent form
no surprises act notice
access to health record notice
client bill of rights when seeing LICSW
Mobile and on-site release form