Appointments
| To set up a New Patient visit (adults 18+ only) | |
1. Please complete the  New Patient Online Request Form, then call (512) 964-6992 and press Option 1 to schedule an appointment time. |
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| 2.When
your appointment has been scheduled, you will receive our intake
forms via DocuSign New
Patient PPW/Questionnaires - CTMH to complete before your visit. We prefer spouses of current patients seek help with another provider to avoid any conflict of interest in case of separation. |
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| 3.Please arrive 40 minutes early to your appointmen tif you were unable to complete the intake forms ahead of time. |
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| 4.Currently we provide medication management services, not psychotherapy or counseling. |
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| 5.Prescribing Philosophy Note: We do not prescribe high dose of stimulants or high dose benzodiazepines, and normally not together at any strength. We also do not typically prescribe benzodiazepines to someone taking opiate pain medications such as hydrocodone, etc. Some prescription options for ADHD, Anxiety and Insomnia are controlled substances and may require drug screening(s). |
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| 6.There is a processing fee of $95 per Disability forms and a $25 fee per FMLA leave forms (initial and any subsequent). |
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| 7.We are NOT registered/certified to prescribe or recommend medicinal marijuana. Visit HERE for registered providers |
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| Complete Patient Form (9 Forms in 1) | |
| 1.Patient
Demographics Form |
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| 2.Authorization
to Disclose Protected Health Information |
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| 3.Office
Policies & Procedures |
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| 4.Notice
of Privacy Practices |
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| 5.Controlled
Substances Therapy Agreement |
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| 6.Telemedicine Informed Consent |
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| 7.Suprise
Medical Bills - Your Rights and Protection |
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| 8.Diagnostic
Questionnaires |
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| 9.Acknowledgement
of Receipt of Privacy Practices |
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 Complete
Patient Form Adobe PDF File Size 5069 KB |
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| Individual Forms | |
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| 1. Patient Demographics Form | 2. Authorization to Disclose Protected Health Information |
| Patient
Demographics Form Adobe PDF File Size 380 KB |
Authorization
to Disclose Protected Health Information Adobe PDF File Size 425 KB |
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| 3. Office Policies & Procedures | 4. Notice of Privacy Practices |
| Office
Policies & Procedures Adobe PDF File Size 393 KB |
Notice of Privacy Practices Adobe PDF File Size 298 KB |
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| 5. Controlled Substances Therapy Agreement | 6. Telemedicine Informed Consent |
| Controlled
Substances Therapy Agreement Adobe PDF File Size 184 KB |
Telemedicine
Informed Consent Adobe PDF File Size 286 KB |
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| 7. Suprise Medical Bills - Your Rights and Protection | 8. Diagnostic Questionnaires |
| Suprise
Medical Bills - Your Rights and Protection Adobe PDF File Size 144 KB |
Diagnostic
Questionnaires Adobe PDF File Size 2086 KB |
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| 9. Acknowledgement of Receipt of Privacy Practices | |
| Acknowledgement of Receipt of Privacy Practices Adobe PDF File Size 722 KB |
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