PATIENT FORMS & POLICIES

Your First Appointment

Please call the office and speak with our intake staff. After setting your initial appointment, we will need you to complete the following forms in the Adult or Child/Adolescent New Patient Packets below. Please complete all forms and bring them to your first appointment along with the patient insurance card and recent tests or relevant medical records (click on one of the red buttons below). If you are unable to print the New Patient Packets and complete all forms, please arrive 40 minutes early for your scheduled appointment so you can complete these forms in the office.

NEW Child and Adolescent Patient Packet (for patients under 18 years of age)

NEW Adult Patient Packet (for patients 18 years of age and older)

General Clinic Policies

Welcome to LifeNet Psychiatry. To assist us in providing you with the best care possible, please read the following copy of our policies. If you have questions, please contact us.

Appointment Policy

Our office requires a 24 hour notice to reschedule or cancel your appointment. Appointments for which you arrive late will still end at the appointed time. We do not overbook or double book, so the session is yours and is your responsibility for managing. As a courtesy, you may receive a reminder call, text or email for your appointment; however, the responsibility for keeping your appointment is ultimately yours.

Payment for Services

LifeNet Psychiatry accepts most major insurance plans, however you are responsible for copays or charges that are not covered by your insurance plan. If you have questions regarding billing or which insurance plans we accept please contact us. Payment is due in full at the time of services rendered. The credit card used to make an initial appointment will be kept confidentially on file to be automatically charged for the full session fee in the event of a late cancellation (less than 24 hrs), a no-show/missed appointment, record reproduction, or other balances that may incur. The card will be used for all family members who are seen at LifeNet Psychiatry. We accept Visa, Mastercard, American Express, and Discover. There will be a $35 service charge fee for checks returned for insufficient funds in checking account.

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