Your First Appointment
- An in-person appointment is required for first visits; these are typically an hour-long assessment
- A parent/legal guardian must accompany a minor
- Please bring an up-to-date list of all current medications, medical conditions, and any previous diagnoses
- If possible, be aware of birth history and development
Your Follow-Up Appointments
- May be in-person or telehealth, depending on what you and your clinician decide
- Follow-ups can take 20 minutes to one (1) hour, depending on what you and your clinician decide
Common Information We Will Request
- Patient name, DOB, SSN, address, phone, email, insurance
- Parent/Guardian name, DOB, address, phone, email - Proof of legal guardianship is required if not the biological parent.
- Requested services (psychiatry, case management, CANS assessment, individual therapy, family therapy)
- Presenting concerns, symptoms, diagnoses, medications, history of/thoughts of self-harm, suicide attempts, violence, PCP, BH providers, specialists, and recent hospitalizations
- Referral name, phone, email, and any other organizations involved (ROI required for all referring agencies).
When a child is in the custody of Children's Services and living in temporary housing, the caregiver must bring specific legal and medical documentation to ensure the child can receive treatment:
Placement Paperwork: Official documentation from the agency (e.g., a placement agreement) confirming the child's residence.
Medical Consent Form: A signed authorization from the county agency or legal guardian allowing consent to medical treatment.
Proof of Custody: Any court orders or government-issued papers showing the child’s status as a dependent.
Guardian Identification: Photo ID and any "parent badge" or caseworker contact information provided by the agency.
Insurance or Medicaid Card: The child’s current medical card; for many children in care, this will be a state Medicaid card.
Start your journey to better mental health today!
Please complete one of the forms below that best describes your situation.
For minors (under 18) with an agency referral.
For adults (18 and over) with an agency referral.
For minors (under 18) who are a self-referral.
For adults (18 and over) who are a self-referral.