Patient Information
Welcome!
​
Please bring your ID and health insurance card to your first appointment.
New Patient Intake Forms
Intake forms will be emailed to you once you have scheduled your appointment with us.
​
We want to be prepared to provide services to you when you arrive. For this reason, new patient paperwork must be completed no later than the day before your appointment.
We may reschedule or cancel your appointment if paperwork is not completed in advance. If you do not have access to the internet and need your forms mailed to you, please let us know well in advance of your appointment and return your completed forms at least one day prior to your scheduled appointment.
New Patient Deposit
A deposit is required to schedule a new patient appointment. Please don't take this personally! This policy is intended to reduce no-shows for first time appointments. Most new patient appointments require a $40 deposit, but some lengthy evaluations require more.
The deposit will be applied toward any fees you may owe. If your insurance covers our services at 100%, your deposit will be refunded after your claim processes.
If you wish to cancel your appointment, we are happy to refund your deposit if you provide us more than 24 hours' notice. Cancellation or rescheduling with less than 24 hours' notice forfeits your deposit, and a new deposit must be paid to reschedule. Any subsequent appointments cancelled or rescheduled without at least 24 hours' notice are billed at $40.
Patients Under Age 18 and Legally Dependent Adults
Consent for healthcare services is important to us. New patient forms for a minor or legally dependent adult must be completed by a parent or legal guardian, and a minor or legally dependent adult must be accompanied by a parent or legal guardian at the first appointment.
Legally Dependent Adult: An individual that has been deemed by a court of law to be unable to make medical decisions for themselves. A healthcare power of attorney document is not sufficient to assert legal guardianship.
Legal Guardian: In this context, a person that has been appointed by the court to consent to healthcare services and make medical decisions for someone else. A stepparent is not a legal guardian unless a court has provided them with paperwork stating as such. Legal guardians must bring the appropriate court document.
​​​