NEW PATIENTS CALL:
919-929-9610
TOLL FREE:
877-876-3783
INTAKE FORM

13 Convenient North Carolina Triangle Locations
Asheville
Cary

Chapel Hill
Durham
Raleigh
Wake Forest
Mebane
Forensic Services

TMS Therapy
Neuropsychiatric Clinic

Wellness Center
Telehealth
Groups and Seminars

Become a Partner:
Practices
Individual Clinicians

Partners
All
Clinical Associates
Wellness
Psychiatrists
Physicians Assistants
Nurse Practitioners
Strategic Community Partners

Blog

Sitemap

Carolina Partners in Mental Healthcare new mental health and wellness treatment patient form

Once you have an appointment scheduled, you may download the New Patient Forms required for all new CPMH clients to bring to your first appointment.  The data on this form will enable us to file your insurance claims on your behalf. Simply download the PDF file onto your computer, complete at your leisure, and bring with you to your first appointment. You may need to download Adobe Acrobat Reader to access these forms.

Download Adobe Acrobat Reader
The Adobe Acrobat Reader is a free download,
and will allow you to view the Portable Document Format.

To schedule an appointment, please complete a secure Intake Form online or call 919-929-9610.  One of our intake coordinators will call you to schedule an appointment within 24 business hours.