Providing comprehensive mental health care

and treatment for adults and adolescents

Psychiatric Evaluation Pre-Visit Information Form

If you prefer to not submit your information online please contact our office at (518) 438-0033.

If you would prefer NOT to be contacted by email or at any of the numbers below, just leave blank.
We ask for this information only to save you the time of explaining your problems to our staff, which you may choose NOT to do if we determine that your insurance may not cover our services, in which case you may decide to pursue treatment elsewhere.