Patient Form

New Patient Forms

We're excited to have you here. Please fill out the form below to help us understand your health needs better. Your well-being is our priority!"

Patients Rights

Your respect, privacy, and care are our priority. You have the right to clear information, fair treatment, and to be involved in decisions about your health."

Patient Privacy

Your privacy matters to us. We are committed to protecting your personal and medical information with the highest standards of confidentiality.

Accepted Insurances

We work with a variety of insurance providers to make your care accessible and stress-free. Please check the list below to see if your plan is accepted.

Book An Appointment Section

Request Your Medical Records

Accessing your health information is your right. Please follow the steps below to request your medical records safely and securely.

Pay Your Bill

For your convenience, you can easily and securely pay your bill online. Thank you for trusting us with your care.

Patient Portal

Stay connected with your healthcare. Access your medical records, appointments, and more — anytime, anywhere through our secure patient portal.

Welcome

Below you’ll find the forms needed for your first appointment!
Please download the forms, print and fill them out. When you arrive for your first appointment, please be sure to give the forms—completed and signed—to our front office receptionist.

For forms requiring a witness signature, please wait to sign these until you arrive and sign in at the front desk.

Schedule an Appointment now

Empower your healing journey today.  Your path to renewed hope and mental well-being starts here.

To make an appointment with our expert team, please give us a call.

Contemporary Care Psychiatric Centers