Important information about our office policies and fees can be reviewed on this link.
If you're a new patient, please complete the following forms and bring them to the office or fax them to (919) 800-3060 at least 2 to 3 days prior to your appointment along with a copy of your insurance card to allow us time to verify your coverage.
- Registration Form
- Personal History Questionnaire
- Informed Consent
- Child Intake Form
- Insurance Benefits Questionnaire
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.) or wish to allow us to speak to another individual regarding your treatment, please complete this form to authorize a release of information:
Note: To download Adobe Acrobat Reader for free, click here.