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Patient Info

We are pleased to welcome you to our office.

We are pleased to welcome you to our office.

WE ASK THAT PATIENTS HAVE ALL VALANT CLIENT PORTAL INFORMATION COMPLETED PRIOR TO THEIR SCHEDULED APPOINTMENT.

Due to our schedule constraints, if you do not arrive at our office by the time indicated, there is a possibility we will have to reschedule the appointment to another date. Our office will contact you 1-4 days prior to the date of your appointment to confirm that you intend to keep this appointment.

*We must have verbal confirmation of your intention to attend your appointment at least 24 hours in advance! Failure to confirm with our office will result in a cancellation of your appointment*.

Please be sure to bring with you a photo ID, your insurance card and any applicable co-pay or deductible that you will be responsible for. Also, it is advised that you contact your insurance carrier prior to the appointment date to inquire as to what outpatient mental health benefits are available with your particular policy. If any pre-authorization is required, you will need to secure authorization prior to your appointment.

Please note, if you have reports you wish to give to the doctor it is your responsibility to make copies of those reports prior to your appointment. We are unable to make copies for you. If the patient is under the age of 18, we require that at least one parent or legal guardian accompany them to the appointment. If you are not a biological parent we will need a court ordered document signed by a judge or birth certificate listed you as the legal guardian. We also ask that you only bring the child for whom the appointment is scheduled to our office. Please make arrangements for other minor children to be cared for while you attend this appointment.

VALANT CLIENT PORTAL
NEW PATIENT FORMS

IF YOU ARE A NEW PATIENT PLEASE DOWNLOAD AND FILL OUT THE

AUTHORIZATION OF RELEASE FORM

IF YOU ARE AN EXISTING PATIENT IN NEED OF AN AUTHORIZATION OF RELEASE FORM, PLEASE CLICK BELOW.

CREDIT CARD ON FILE AUTHORIZATION
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