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Our New Clients

Next Steps

Make an appointment

After speaking with our representative or completing a 15-minute Free consultation, you will receive an email from Orchid (our HIPAA-compliant electronic platform).

We strongly encourage you to read all the forms before signing them. Electronic copies will be available for your reference in your Orchid account.

Detailed family history of mental health and medications taken by biological family members.

    You will make an Orchid account and confirm your visit. If you are an insurance patient, please fill out this form: https://forms.gle/hgrdKvN2QoRX8Dp87

      Please make a list of previous medications that you have taken for anxiety, ADHD, depression, OCD, sleep issues, psychosis or other difficulties.

        The Telepsychiatry (Online/Virtual) option is available. You can simply log into your Orchid account, click on your appointment in the calendar to join a videovisit.

        Once your appointment is confirmed, you will receive office forms (HIPAA, Privacy, Intake) to complete prior to your visit with us.

          Additionally, please include medication dosage, duration, what worked, and any negative side effects experienced.

            Our friendly team is happy to assist with any questions you may have while preparing for your visit.

            Contact Us

            New Patient Insurance Intake Form

            Please fill out this form to help us better understand your needs. Upload the necessary documents and provide accurate information. This will ensure a smooth onboarding process. All information is confidential and secure. This form will help us know what you need help with. Does not establish patient-physician relationship.

              Full name or, if applicable, the guardian's full name. *

              If this appointment is for a child, please provide their full name. Otherwise, type "N/A" *

              Date of Birth *

              Gender *

              Telephone *

              Email Address*

              Briefly describe what do you need help with? *

              What are the main difficulties? Check all that apply! *

              Other main difficulty *

              Check all of the following if applicable: *

              Are you currently taking any psychiatric medications or have you taken any in the past? If so, please list them. *

              Have you ever been to a psychiatrist before? *

              If "Yes," please explain why you are transitioning to a new psychiatrist. *

              What kind of help are you looking for? *

              Which Insurance do you have? *

              Please upload a clear image of the front of your insurance card. *

              Please upload a clear image of the back of your insurance card. *

              Please upload a clear image of the front of your driver's license. *

              Please upload a clear image of the back of your driver's license. *

              Is there anything else you'd like us to know about your situation or medical history? *

              Do you have eating disorder? Is it active? (We don't treat active eating disorder) *

              Do you use any illicit drugs? (We don't treat active substance use disorder) *

              Are you having any active suicidal thoughts or attempts within last 3 months?
              (We cannot see you and you may require more intensive program)

              Are you able to have appointments in the evening and weekends? *

              Do you have any legal history? Please specify if any *

              How were you referred to us? *