New Patient Forms
Please click the link below to print our New Patient Forms prior to your appointment.
Please complete each page and bring them with you to your scheduled appointment along with your photo ID and insurance card.
If you are unable to complete the New Patient Forms prior to your appointment, please arrive at least 30 minutes before your scheduled appointment time to complete the paperwork.
We are currently in-network with:
- Blue Cross Blue Shield PPO
- Blue Cross Blue Shield HMO
To assist patients with other insurance coverage, we provide patient statements upon request containing the necessary information required by insurance companies so patient may file on their own behalf.
We have been successful in utilizing single case agreements with other insurance providers to cover the cost of interventional treatments (SPRAVATO® and BrainsWay Deep TMS) as in-network. This excludes the cost of office visits and is on a case-by-case basis and cannot be guaranteed.