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New Patient Forms
Our team looks forward to meeting you and your family!

For an initial evaluation appointment, a parent/legal guardian will need to complete the below steps. If you need assistance getting set up for your first appointment please call us directly at 920.750.7000.

“Si usted necesita ayuda para prepararse para su primera cita, por favor llame directamente al 920.750.7000.”

“Yog tias koj xav tau kev pab teem sij hawm tuaj kuaj thawj zaug, thov hu ncaj qha tuaj rau peb ntawm 920.750.7000.”

 

Review Policies & Procedures

 

Sign and Complete ALL Intake Forms

For clients ages 14 and older, the consent for treatment form must be signed with a parent.

    1. Acknowledgement of HIPAA Privacy Policy 
    2. Informed Consent for Treatment
    3. Financial Agreement
    4. Client & Family History Form

 

Once you’ve submitted the required intake forms, please wait 24 hours to allow time for us to receive your forms and update your child’s chart with the provided information. You can then call us directly, Monday – Friday, at 920.750.7000 to schedule your child’s initial appointment. Thank you for your patience and assistance in helping make this process as smooth as possible.

 

Please note: Catalpa and many community agencies are experiencing high volumes of new patient requests at this time. To respond to this demand, our team has developed a partnership program where we keep track of the availability of mental health therapy services around the community. We do our best to schedule you with a Catalpa Health therapist, but also help get you connected if services are needed with another agency as quickly as possible. Additionally, if psychiatry services are needed we can schedule that right away at the time of intake with one of our Catalpa psychiatric providers.