Registration is simple. If you're a potential client, you can start the registration process by either clicking the online registration button or by calling us (parents or guardians can register minors). See our LOCATIONS page for hours of operation and phone numbers. Phone registration is easy, just have the following information ready to provide to the administrative staff and get your appointment made today!
- Your current address
- A reliable phone number where you can be reached
- A reliable email address
- Your current insurance information
Please allow ninety minutes for your first appointment to complete all paperwork if you're doing so during that visit.
If you prefer to print and fill out your registration paperwork beforehand, please click the registration form button below. You can then submit the completed registrations remotely to your chosen clinic location via email scan, USPS mail, or fax. Once the registration is processed, you will receive an appointment for a clinical intake.
Bring the following with you to your first scheduled appointment:
- All current Insurance Cards - primary and secondary
- Photo ID
- Patient Social Security Card
- Primary Medical Doctor's name, address and phone number
If Patient is a minor, you will also need to bring the following with you to your first schedule appointment:
- Proof of custody (Custody order)
- Proof of address
- Immunization record
- Birth certificate
If you currently have no insurance, please bring in or send copies of the following for income verification:
- 3 most current pay stubs OR
- Prior year tax return
Notes:
Children are not required to attend the registration meeting.
Acceptance and schedule for intake is dependent on qualifying for services, and if required, obtaining authorizations for services.
Failure to provide all necessary documents can result in no scheduled clinical visits.