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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 may contact you by reply email for additional information.   Note: We continue to experience a higher than usual demand. Our staff makes every effort to respond to new patient requests in a timely manner.  Please allow 2-3 business days for a response.  

  2. Once you are a registered patient, a text and e-mail link to the complete registration and consent forms sent from our HIPAA-compliant digital intake system to the address provided during the telephone interview.  

  3. Complete the package and submit within 48-hours.  

  4. South Mountain reserves the right to cancel and/or reschedule intake appointments if the registration is not completed within 48 hours. 

Patient Screening Questionnaire

Thank you for your submission. A member of our staff will contact you within three business days.​

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