New Patients
New Patients
Thank you for choosing our clinic for your care. We provide services for ages 18 and older only. Please make sure to check our Insurance / Fee page to view a list of insurances we are currently accepting and also our current cash pay pricing.
Our clinic does require a referral from your provider (This can include your primary care physician, a previous psychiatrist or therapist). Your referral can be faxed to our office at 833-638-0070 using this FORM.
Please note: Dr. Stephan Becker is not currently taking new patients; however, Alexander Ferro, PA-C is accepting new patients.
You may access the new patient paperwork to be completed before your appointment. Please click the forms listed below that is appropriate for your visit type. Having this paperwork completed and brought with you will shorten your wait time. Please call our office if you have any questions.
Bariatric Pre-Surgical Psychiatric Evaluation
- Bariatric Psychosocial Questionnaire
- PHQ-9 Assessment
- HIPAA Notification and Signature
- Assignment of Benefits (Insurance)
Psychological Evaluation
- Adult Behavioral Questionnaire
- PHQ-9 Assessment
- HIPAA Notification and Signature
- Assignment of Benefits (Insurance)