Book An Appointment

Taking the first step toward support matters. If you have questions, need help booking an appointment, or want to learn more about our services, we’re here to help.

How to Get Started

Step 1

Fill out our short intake form with your details.

Step 2

Select insurance or private pay. We’re in-network with most major insurance plans.

Step 3

Choose a day and time that works best for you.

Step 4

Meet your Psych NP using a secure video link.

Start Now

Patient Information:

First Name

Last Name

Date of birth

What is your gender?

Address

City

State

Country

Postal code

Email *

Phone *

Emergency Contact:

Full Name

Relationship to Patient (if applicable):

Phone Number

Insurance Information:

Insurance Provider:

Policy Number:

Group Number:

Primary Insured’s Name:

Medical History:

Primary Care Physician Name:

Do you have any allergies?

List any current medications:

Do you have any of the following conditions?

Date of Last Medical Visit:

Reason for Last Medical Visit:

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By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others.from Serenity Seekers Psychiatry at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

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If you are experiencing a medical emergency or crisis, please dial 911 or visit your nearest emergency room immediately.