New Patient Information

Patient Forms

If this is an emergency please go to your nearest emergency room.

If you have any questions about the forms please call the office at (304) 218-2023

For Adults: For new adult patients interested in scheduling an evaluation appointment

For Children: For parent or legal guardians interested in scheduling an evaluation appointment for a child or adolescent

For Pregnant & Postpartum Individuals: For patients who are planning to become pregnant, pregnant, postpartum or their support person interested in scheduling an evaluation appointment

For parents needing to sign consent for family member to bring child

under 18 years of age to therapy or medication management appointment

For current patients needing to complete a release of information consent form

For new or current patients needing to upload an insurance card

Patient File Upload

Edinburg Postnatal Depression Scale (EPDS)

Adult New Patient Packet

Child New Patient Packet

Perinatal New Patient Packet

Authorization for Consent

Record Release Form

Insurance Card Upload

Patient File Upload

EPDS

Patient Forms

Office Policies