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New Patient
 
 
If you are a new patient and would like to schedule an appointment,
you may call the office or fill out the Initial Contact Form and submit to us electronically. Once we receive your electronic request out staff will contact you to coordinate the date and time of your appointment. The electronic submission of essential patient's information is preferred due to high volume of incoming calls which sometimes could be associated with extended waiting time.
 
 
INITIAL CONTACT FORM
Your Name
Date of Birth
Home Address
Home phone
Cell phone
E-mail address
Insurance Company
Why do you need to be seen?
Type of services:
General Psychiatric Evaluation and Treatment
Individual Psychotherapy
Opioid Dependence Treatment with Buprenorphine
Psych. Eval. for U.S.Citizenship and Immigration
Psychiatric Evaluation for Gastric Bypass Surgery
Psych. Evaluation for General or Plastic Surgery
DNA Testing
You have to arrive 15-20 minutes early for the initial evaluation to fill out the paper work. Thirty and more minutes  late for the initial evaluation will result in cancellation of your appointment and appropriate missed/ late cancellation fee will be applied. 

 For any Initial evaluations or initial appointments you will be required to pay in full by cash only before the service provided!!!