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New Patient Request Form

Mind Matters, P.C. provides quality multidisciplinary evaluations and treatment for psychiatric disorders. We treat children, adolescents, adults and families.  Our clinical team will determine which clinician is best suited to meet your needs after receiving the completed “New Patient Request Form”. 

  • We will reach out to initially schedule a series of appointments and recommend a treatment plan. 

  • Initial appointments are available with our Psychiatrists or Psychiatric Mental Health Nurse Practitioners (Our therapists and Psychologists are currently available by internal referral only and have limited availability at this time.  Call our office for details.)

  • Please note, We do not currently bill or participate in Medicare or Medicaid plans.   

To become a Mind Matters PC Patient:

  1. Please fill out the fillable intake form completely (see below) and save it to your device.  

  2. Submit your request by uploading the completed intake form and insurance card to us 

  3. We will reach out to contact you. If you have questions or need assistance,  feel free to contact our office.

Submit Intake Form
Upload intake form
Upload Insurance Card
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