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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.  If you are interested in receiving therapy only, please call our office.


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 and save it to your device.  

  2. Submit your request by uploading the completed document to us with your name and the date as indicated below.

Submit Intake Form
Upload PDF
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