We have the most licensed psychologists and psychiatrists practicing in one location in New England
To help you get some of the administrative paperwork out of the way and allow you more
time with your provider during the first visit, please complete the Pre-Registration Form 72
hours in advance. Once completed please email to:firstname.lastname@example.org
Please complete a Clinical History Form 72 hours before your 1st appointment.
After speaking with our Intake Department and obtaining your first appointment with a provider at
the practice, please complete two forms below:
(1) Clinical History Form
(2) New Patient Registration Form
Please note that if you also previously completed an online 1st time appointment request form,
there may appear to be some overlap, but this is a different form requested by your provider
specifically to provide him or her important clinical background information that will save you
time in your first appointment, and allow you to focus exclusively on the specific factors related
to your visit.
For appointments with psychiatric providers who may be evaluating you for the appropriateness
of medication to help manage your symptoms, it may allow them to prescribe medication on the
first visit vs. possibly delaying the actual prescribing until your second visit."
New Patient Registration Form
Clinical History Forms
Confidential, Professional, Personal Care When You Need It
Range of Services