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​Option I:

  1. Download the intake forms.

  2. Print and fill them out.

  3. Upload the signed forms by clicking "Upload Intake Forms."

  4. If you're using insurance, upload a copy of your insurance card and driver's license by clicking "Upload Member ID & Driver's License."

  5. If you’re unable to upload the files, please email them to info@ekpsych.com.

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Download

Intake Forms

​Option II:

Complete the online intake forms below.

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Electronically Send Intake Forms

If not, what's your relationship with patient?
Are you the patient?
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