The new patient registration process is easy and simple.
Note: if your company is part of the Optum Behavioral Solutions Preferred Group program please click here first.
- Please click on the registration button and complete the form. The form is short and completing it out should not take more than a couple of minutes. We recommend that you have your insurance card at hand.
- A patient care coordinator will contact you within 24 hours after you submit the registration form to schedule your first appointment, review our evaluation process and setup your insurance billing.
- You will receive an email confirmation of your appointment including a link to a behavioral health questionnaire. Please complete and submit this questionnaire prior to your first appointment. The questionnaire is three pages long and should take between 10-15 minutes to complete.
If you need to cancel or reschedule your appointment please do so 48 hours prior to the appointment, to avoid being charged a missed appointment fee. Notice that missed appointments are not covered by insurance. As a courtesy we email or text an appointment reminder to assist your scheduling.
Should you have any questions regarding the registration process or any of the forms please contact us at (408) 559-3403 ext 5.