New Patient Forms

The new Patient forms will be available in your Patient Portal. Once you have registered with our receptionist, a welcome letter with a link to create a password and access to these forms will be sent to you via email. Please be sure to bookmark the Portal login! The link will expire in seven days. If you do not log in within seven days, you will need to contact the office to have the letter sent to you again.

The Social-Medical History form is also sent through the portal, but as a .PDF. This form is important for your doctor or therapist to be informed of your background and presenting concerns prior to your appointment. This information will be confidential and only accessible to your doctor or therapist. If you are unable to complete this form online, you may print it, complete the form and bring it with you to your appointment. If you are unable to download or print them, please plan to arrive 30 minutes PRIOR to
your scheduled appointment time.

All forms must be completed before your appointment time or your appointment may be rescheduled.

Finally, please contact your insurance carrier with any questions about your Outpatient Mental Health and Psychological Testing benefits; in many cases, these differ significantly from medical office co-pays or deductibles. As a courtesy, we will bill your insurance on your behalf, but it your responsibility to know what your benefits are.

If you would like to review a copy of our Patient Centered Medical Home document click here

To print a copy of the HIPAA Privacy policies, please click on your doctor/therapist name below

Dr. Lujan Dr. Mazzara Barron, Boardway, DeGroat, Dickson, Makie, Yost,

Mitton, House, Huber, James, Moore, Slade