We're Accepting New Patients
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We're Accepting New Patients ~

Welcome New Patients!
We’re excited to welcome new patients, ages 4 to 65!
At Erie Psychiatry, we believe in providing mental health care that fits you perfectly. If you or someone you know needs support, we’re here to help you every step of the way on your journey to wellness.
To get started, please fill out the "New Patient Request" form below. We can’t wait to work together!
New Patient Paperwork
Demographics and Contact Information
Medical & Psychiatric History
Payment Preference & Insurance
Notice of Privacy Practices
Consent for Treatment
Telehealth Consent
Cancellation Policy
Financial Agreement
Credit Card Authorization Forms
Insurance Authorization Forms
Need Help Accessing Your Forms?
Follow these instructions, below, or watch the video for additional clarification.
1.) Find and open the email that contains your shared form. The sender will be hello@eriepsychiatry.com. We will share all forms to the email you provided upon registration.
2.) Each email is encrypted and contains a unique password that is needed to access the specific form that has been shared with you. Passwords are in RED.
3.) Highlight and copy (Ctrl + C) the password.
4.) Click the green button that reads ‘OPEN FORM’
5.) Paste the copied password.
You’re all set!
https://vimeo.com/266139828