Patient Paperwork

Paperwork

For your convenience, we have added our New Patient Form, Adult Intake Form, and Release of Information. Please feel free to print off the documents that you need, fill them out, and return them to our front office. This will help us to expedite your request.

Paperwork


All new patients Please arrive 30 minutes prior to your appointment time. You will need to bring the following items with you: 


  1. Government issued photo ID (drivers license, passport, etc.) 
  2. Insurance card(s) 


If you are another office or facility and would like to refer your patient to our program, please fill out the form below. In order for our office to act on the referral we must have the requested forms attached. You will find the list of requested documents on the referral form. Thank you for your referral. We look forward to working with you and your patient.

PATIENT REFERRAL FORM

Testimonials

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"Thank you so much Dr. Ashaye. You are absolutely a wonderful person. Sheila is also amazing if you ever have the pleasure of meeting her. Tms was well worth the time it takes"

DM
Diana Montgomery
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"I have been working with Zana for 3 years, I have never had a mental health professional care so much about my wellbeing and making sure my medications are working. If you are struggling- I highly recommend booking an appt with her."

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Brittany Stoker
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"Zana Delic is fantastic. She listens, she asks the right questions, and truly makes the appointment feel comfortable. I’d highly recommend her to anyone."

AG
Ashley Gulley
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"I've been seeing my psychiatrist for 6 months now and I feel like they always want to make sure I am happy and healthy."

AL
Aron Lupton

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