New Patient Appointment

We are glad that you have taken the first step to wellness! Please follow the steps below to schedule your first appointment with our practice. If the patient is less than 18 years of age, please complete the Adolescent form. If you are looking to schedule a psychotherapy appointment with Kelly Mitchell at Clear Mind Therapy, please visit her provider page.
 
PLEASE NOTE: If you complete the online form and our intake department does not feel that we have the expertise to manage your specific issue, we will provide you with community resource information.

Step 1: Submit securely online:  Adult New Patient Form or Adolescent New Patient Form 

Your answers will help us make the most of your first appointment and also allow us to determine to what extent your insurance covers our services. To prevent any delay in scheduling your initial appointment, please ensure that all pages are complete. You may view our 
HIPAA Privacy Notice.

Step 2: Click here to complete the Authorization to Obtain Medical Records

Step 3: Click here to securely submit your Credit Card Authorization Form 

Step 4: Once we have verified your insurance, you will receive a call from our office to review your coverage benefits and to schedule and appointment. Note: Verification of insurance does not guarantee payment of claims. Benefits are based on policy provisions and payment of policy premiums. If claims are denied, the patient will be responsible of balances accrued. 

Step 5: Please arrive to your arrive to your appointment 10 minutes early. If you realize that you are unable to make your new patient appointment, please call the office to reschedule within 24 hours to avoid the late cancellation and no-show fees.

We are glad that you have taken the first step to wellness! Please follow the steps below to schedule your first appointment with our practice. If the patient is less than 18 years of age, please complete the Adolescent form. If you are looking to schedule a psychotherapy appointment with Kelly Mitchell at Clear Mind Therapy, please visit her provider page.
 
PLEASE NOTE: If you complete the online form and our intake department does not feel that we have the expertise to manage your specific issue, we will provide you with community resource information.

Step 1: Submit securely online:  Adult New Patient Form or

Adolescent New Patient Form 

Your answers will help us make the most of your first appointment and also allow us to determine to what extent your insurance covers our services. To prevent any delay in scheduling your initial appointment, please ensure that all pages are complete. You may view our 
HIPAA Privacy Notice.

Step 2: Click here to complete the Authorization to Obtain Medical Records

Step 3: Click here to securely submit your Credit Card Authorization Form 

Step 4: Once we have verified your insurance, you will receive a call from our office to review your coverage benefits and to schedule and appointment. Note: Verification of insurance does not guarantee payment of claims. Benefits are based on policy provisions and payment of policy premiums. If claims are denied, the patient will be responsible of balances accrued. 

Step 5: Please arrive to your arrive to your appointment 10 minutes early. If you realize that you are unable to make your new patient appointment, please call the office to reschedule within 24 hours to avoid the late cancellation and no-show fees.

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