Appointments
| To set up a New Patient visit (adults 18+ only) | |
1. A) Fill out the  New Patient Online Request Form and you will be contacted shortly to set up a time, or |
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| 2.B) Call 512-964–6992 to set up an initial evaluation, or |
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| 3.C) You may also stop by in person at our Round Rock location 8am – 5pm to request an appointment. |
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| 4.Print out and complete Intake Forms and bring them to your first appointment with your insurance card, ID, medications,and any previous records. You can also fax these documents to 512-610-5679
attention CTMH Front Desk. |
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| 5.Please arrive 15 minutes early to your appointment to fill out our Intake Forms if you wish to fill them out at our location. |
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| 6.Currently we provide medication management services, not psychotherapy or counseling. |
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| 7.Prescribing Philosophy Note: We do not prescribe high dose of stimulants or high dose benzodiazepines, and normallynot together at any strength. |
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| Complete Patient Form (5 Forms in 1) | |
| 1. Patient Intake Form | |
| 2. Office Policy | |
| 3. Notice of Privacy Practices | |
| 4. Acknowledgement of Receipt of Notice of Privacy Practices | |
| 5. Authorization for Release and Receipt of Information Primarily for Family Members / Personal Reasons | |
| 6. Questionnaires | |
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 Complete Patient Form Word Doc File Size 3463 KB |
 Complete Patient Form Adobe PDF File Size 2363 KB |
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| Individual Forms | |
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| Patient Intake Form | Office Policy |
| Patient Intake Form Word Doc File Size 32 KB |
Office Policy Word Doc File Size 36 KB |
| Patient Intake Form Adobe PDF File Size 55 KB |
Office Policy Adobe PDF File Size 101 KB |
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| Notice of Privacy Practices | Acknowledgement of Receipt of Notice of Privacy Practices |
| Privacy Practices Word Doc File Size 464 KB |
Acknowledgement Receipt Word Doc File Size 210 KB |
| Privacy Practices Adobe PDF File Size 445 KB |
Acknowledgement Receipt Adobe PDF File Size 192 KB |
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| Authorization for Release and Receipt of Information Primarily for Family Members / Personal Reasons | |
| Authorization Release Word Doc File Size 281 KB |
Questionnaires Word Doc File Size 2544 KB |
| Authorization Release Adobe PDF File Size 265 KB |
Questionnaires Adobe PDF File Size 951 KB |
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