Building mental health resilience, every encounter, every client!

New Patient Worksheets

                         Please download to fill out and

return via email, fax or bring with you to your first appointment.

Child & Adolescent Paperwork

Adult Paperwork

Office Policies

  • Copayments are due at the time of service. Cash or credit are the only acceptable forms of payment.

 

  • There is a fee for missed appointments as permitted by your insurance company and where not permitted, patients who fail to show to multiple appointments may be discharged from the practice.

 

  • Bring your drivers' license and insurance card with you to every visit.  If you are under 18, a picture or photo identification is still necessary.

 

  • Arrive a few minutes early to complete the necessary paperwork.

 

  • We do everything we can to validate your insurance coverage and benefits before your visit.  However, it is still your responsibility to know the coverage and benefits of  your insurance.  If a service is not covered by your insurance, you are responsible for and will be billed for the outstanding amount.

  • Drugs, alcohol, and weapons are not permitted on the premises. 

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Contact Us!

Phone: (443) 526-6133

Fax: (443) 526-6134

Visit Us!

611 South Union Avenue,

Havre de Grace, MD

21078