Please click the following link to go to our on-line registration form. Then begin your registration process by clicking the "Register as a new patient" button under "Haven't seen Dr. Intake before".
This is the quickest way to get started seeing a professional in our practice. Once you complete the form including creating a user name and password, we will verify your insurance information and get back to you as soon as possible to offer you an appointment.
Please note - THE BIOGRAPHICAL INFORMATION FORM IS OPTIONAL but can be filled in to insure a smooth first visit.
* Please make sure you specify the service you are wanting an initial appointment for (Counseling, Psychiatry, Nutrition, Coaching, Organizing or Acupuncture) and if there is any urgency for this appointment.
If you have questions about this form or this process you can always call us at 267-507-1310 or email us at firstname.lastname@example.org