Telehealth and in-person appointments are now available! We are also still accepting new patients. Please call our office for more details.
Patient Forms
New Patient Forms Please print out all forms, complete and return to our office by one of the following methods:
Mail – 11 Shenango Rd Suite 1, New Castle, PA 16105
Drop off in the office vestibule during business hours
Email – call the office at 724-657-1881 and we will provide an email address for scanned forms to be returned. SCAN MUST BE A DIGITAL COPY USING A SCANNER. PHOTOGRAPHS WILL NOT BE ACCEPTED
Release of Protected Health Information Please complete and sign the following Release of Protected Health Information if you have had previous psychiatric providers and/or hospitalizations.
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