New Patient FormsPrior to Your First Visit

Here are the forms you will need to fill out for your first visit. It is recommended to complete these forms as soon as possible. These forms must be completed at least two days prior to your appointment otherwise your visit will be cancelled , you will be charged the $65 no show fee.

For Patients over the age of 18

Adult New Patient Forms
(Complete Online)

For Transcranial Magnetic Stimulation

TMS Patient Form
(Print and bring to appointment)

For Everyone

Release of Information Form
(Complete Online)

For Patients under the age of 18

Child New Patient Forms
(Complete Online)

AND (if applicable)

Screen for Child Anxiety Related Disorders (to be filled out by child)

Screen for Child Anxiety Related Disorders (to be filled out by guardian)

ADHD Diagnostic Checklist (to be filled out by guardian)

Helpful Links

Check out these helpful links for more information on many types of mental health issues and prescription drugs.

Click Here

Questions?

If you have questions about our office or
whether we take your insurance,
give us a call at (843)735-6799.

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