TMS
REQUEST AN APPOINTMENT

ONLY INSURANCES LISTED HERE ARE ACCEPTED

ONLY REQUESTS WITH AN INSURANCE CARD CAN BE CONSIDERED

Upload Insurance card (PDF)

Upload Insurance Card

Check Box if Self PayVIEW SELF-PAY RATES

Election to Self-Pay Agreement (Download Here)

Preferred time

Morning

Afternoon

Evening

First Available

DOWNLOAD NEW PATIENT PAPERWORK HERE

Upload Patient Form Here

WE HAVE RECEIVED YOUR INFORMATION. WE WILL CALL YOU TO SCHEDULE YOUR APPOINTMENT SOON!

WE ARE CURRENTLY ONLY ACCEPTING NEW PATIENT APPOINTMENT
REQUESTS ONLINE. PLEASE FILL OUT FORM IN ENTIRETY
New Patient paperwork must be submitted prior to scheduling an appointment
DOWNLOAD MEDICAL RECORD REQUEST
DOWNLOAD AUTHORIZATION FOR DISCLOSURE OF INFORMATION