Get Help Now
Complete your new patient packet online. Our team will review your information and contact you about next steps, including whether an appointment can be scheduled.
If this is a medical or psychiatric emergency, call 911 or go to the nearest emergency department. This form is not monitored for emergencies.
What Happens Next
You complete the new patient packet online
We confirm your insurance and determine the appropriate level of care
Our team reviews your information and contacts you
If appropriate, you're scheduled for your first clinical appointment
What You’ll Need
Your personal information
Insurance card
Your Primary Care Physician's name and contact information (if applicable)
Your preferred pharmacy name and address
Emergency contact information
Credit or debit card for co-pay authorization (if applicable)
A few minutes to review and sign consent and authorization documents included in the packet
Your information is handled securely under HIPAA and, when applicable, 42 CFR Part 2.
