Our screening and registration process for new patients:

  1. Complete and submit the brief screening questionnaire below describing your needs.  All information is kept confidential and is used for provider awareness.  A member of our staff will review your information and contact you for additional information as needed.

  2. A link to the complete registration and consent form package is is e-mailed from our HIPAA-compliant forms system to the address provided in the questionnaire. 

  3. Complete the package and submit within 48-hours.  NOTE: GMAIL sometimes places our replies in the 'Promotions' folder of your gmail inbox. Please be sure to check there. 

  4. Once the full registration package is returned, a member of our staff will contact you to schedule an appointment.

Please note: We are unable to schedule the initial intake appointment until the completed registration package is returned.

Patient Screening Questionnaire

Thank you for your submission.

A member of our staff will contact you within two business days