Please contact the office at 704-786-4503, extension 3, to let us know of your interest in services. Leave a message with the best number and times to reach you if we are unavailable when you call.
Have your insurance card ready when you call. We can let you know if we are enrolled with your particular insurance company. If we are not enrolled, or you are not sure of your mental health benefits, we can contact your insurance company for you to find out your status (what your co-pay or deductible is, for example).
The next step is to complete the the forms below and send them to our office.
New Client Information Sheet (doc)Download
Background Questionnaire (docx)Download
Notice of Policy and Privacy Practices (docx)Download
Notice of Policies Signature Page (docx)Download
Service Agreement 2018 (docx)Download
Financial and Cancellation Policy 2018 (docx)Download
electronic cc auth (pdf)Download
Consent for Release of Information (docx)Download
Consent to telehealth (pdf)Download