The following assessment and medical/psychological history items MUST BE COMPLETED BEFORE AN APPOINTMENT CAN BE SCHEDULED FOR EVALUATION AS A NEW PATIENT. 

Our records and Intake system is an electronic format, so this information is entered directly into your records. All of this information necessary for us to provide you the best service. It cannot be done on paper. 

 

Symptom Assessment

Patient Portal


  • USE NEW PORTAL ONLY!! OUR NEW PATIENT PORTAL WITH ATHENAHEALTH IS THE ONLY WAY TO COMMUNICATE WITH US BY SECURE MESSAGING AS REQUIRED BY HIPAA LAW.
  • Athena Patient Portal !! You can contact us through the Patient Portal in our medical record/web portal system. Enter the following URL in your browser: 8855.portal.athenahealth.com
  • HIPAA Privacy Notice The Federal laws governing privacy of personal health information (PHI) have changed, and the changes are effective September 23, 2013. The information below includes the changes as well as the previous regulations.