New Patients

Please check that you’ve printed your name and signed each consent (there are a total of 6)

Please be sure you have signed the initial Treatment Plan (page 13)

• The treatment plan will be updated periodically throughout your treatment, based on current needs and progress.

Please be sure you have listed all of your current medications, including the dosages and how frequently you take them

Please send a copy of your current insurance card, current pharmacy benefits card (if separate from your insurance card), and a valid photo ID

Please sign a release of information for the following:

• Primary Care Doctor
  • If you do not have a Primary Care provider (or women’s health provider), our office does require lab work and an order will be given to you to be completed at any lab/facility (of your choosing). Please note that our office is not responsible for fees incurred as a result of the requested lab work. Lab work ordered will be based on medication(s) prescribed and treatment guideline recommendations.
  • Insurance requests communication between Primary Care and Psychiatry in cases of concerns with medication interactions, new symptoms indicating need for further work-up, and for lab work.
• Counselor/Therapist
• Others
  • Other Providers (including specialty providers such as neurologists, endocrinologists etc)
  • Any Previous Provider(s) – This allows us to obtain records of previous treatment including previous psychiatric evaluations, diagnoses, medications, and treatment notes
  • Other Individuals – Including but not limited to, parents, siblings, significant others, DFCs caseworkers, school counselors

Any paperwork you would like us to review prior to your appointment should be sent with your new patient paperwork (including recent lab work, psychological testing, records from other providers, etc.)