Wilmington DE and Newark DE Psychiatrists Specializing in Cognitive Behavioral Therapy, Electroconvulsive therapy, Transcranial Magnetic Stimulation, Eye movement desensitization and reprocessing, Play Therapy, Post-traumatic Stress Disorder, and Depression

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Patient check-in

Patient Check-in form

First name*
Last name*
Date of birth (enter below)*
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At what time is your appointment?*

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What kind of an appointment is it?*
(Choose one of the choices below by clicking inside the radio button)
- Medication management (with Psychiatrist or Nurse Practitioner)
- Therapy (Counselor, Social Worker, Psychologist, etc.)
- TMS (Transcranial Magnetic Stimulation)
Who is your medication management provider (in alphabetical order by first name)?*
(Choose one of the choices below by clicking inside the radio button)
- Janet Brown, PMHCNS
- Julia Jordan, PMHNP
- Michal Tomaszewicz (Mike), PMHNP
- Michelle Lauer, PMHNP
- Parth Viroja, MD
- Sandeep Gupta, MD
- I don't know
Who is your therapist (in alphabetical order by first name)?*
(Choose one of the choices below by clicking inside the radio button)
- Beth Donovan, LPCMH
- Brett Herb, LCSW
- Carol Scanlon, LCSW
- Cindy Elko, PsyD
- Denise Croney, LPCMH
- Edward Feuer, LPCMH
- Jasmin Freeman, LCSW
- Lawrence Yurow (Larry), LCSW
- Louise Stevenson, LPCMH
- Oya Alatur, LCSW
- Rhoda Phillips, LCSW
- Rosemary Szczechowski, PsyD
- Salila Shen, LCSW
- I don't know

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You can also schedule directly by calling (302)478-6199 during normal business hours. If this is an emergency, please call 911.

Name*
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Email*
Phone*
Type of service*
Note: TMS is Transcranial Magnetic Stimulation
Requested appointment location*
Note: Initial TMS consult is offered in both Wilmington and Newark but actual treatment is offered in Newark office only.
Name of insurance company*
What are your concerns?*
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