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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Services
Our Team
- Providers
- Staff
Patients
About TMS
Spravato
Contact Us
Careers
Patient Portal

Patient Paperwork

For New Clients:

Client Information Sheet
Guidelines
Medication Management_Patient Agreement (for Medication Management Clients only)
Release of Information (ROI) Authorization

For Existing Clients:

Client Information Update Sheet (for changes in any client information such as address or insurance(s))

For Clients Reference:

Relese of Information (ROI) Authorization
Patient Portal Set-up Process
HIPAA

PHQ-9 (for the medication management telemedicine clients only)

Online PHQ-9 form

(This online form is for the medication management clients only who have an appointment scheduled with their psychiatrist or nurse-practitioner via telemedicine)

Request an Appointment

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

Name*
First Last
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?*
Phone
This field is for validation purposes and should be left unchanged.