Please complete "New Patient Packet". Remember to press "Submit" at the end. If you exit the page, you will have to start over. All new patients will need to complete.

We want to be able to treat you, please complete "Authorization to Treatment" form so we can start services. Remember to press "Submit" at the end. If you exit the page, you will have to start over. All new patients will need to complete.

Please provide your insurance information for Verification. If you also have a secondary insurance, please do not forget to mention. All new patients will need to complete.

 Please provide your pharmacy information. Remember to press "Submit" at the end. If you exit the page, you will have to start over. All new patients will need to complete.

Patient Health Questionnaire- 9. Please complete "PHQ-9" form so we can start services. Remember to press "Submit" at the end. If you exit the page, you will have to start over. All new patients will need to complete.

Your info is safe with us! Please fill out the "HIPPA", forms so we can protect you! Remember to press "Submit" at the end. If you exit the page, you will have to start over. All new patients will need to complete.

Who would you like us to share your information with? Please print and fill out the "Records Release Form" so we can help you wholeheartedly with other providers or request information from your other physicians and facilities. 

Unable to focus? Research suggests that the symptoms of ADHD can persist into adulthood, having a significant impact on the relationships, careers, and even the personal safety of your patients who may suffer from it. Remember to press "Submit" at the end. If you exit the page, you will have to start over. 

Feeling Anxious?  Self-administered patient questionnaire is used as a screening tool and severity measure for generalized anxiety disorder (GAD). Remember to press "Submit" at the end. If you exit the page, you will have to start over. 

Extra Support! You are not alone! Please completed the following steps. Remember to press "Submit" at the end. If you exit the page, you will have to start over.  Please press download once you have submitted so you can have a copy. 

A self-report questionnaire designed to screen trauma  and identify trauma in multiple events.

A self-report questionnaire designed to help detect certain disorders. It focuses on symptoms of hypomania and mania, which are the mood states that separate bipolar disorders from other types of depression and mood disorder.  Remember to press "Submit" at the end. If you exit the page, you will have to start over.

World Health Organization Disability Assessment Schedule 2.0. This questionnaire asks about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs.

Think back over the past 30 days and answer these questions, thinking about how much difficulty you had doing the following activities. Remember to press "Submit" at the end. If you exit the page, you will have to start over.