A few details to keep in mind prior to submitting your online request for a consult:

  • You may submit the form anytime, but your consult will be returned during our business hours, 9 am to 5 pm, M-F, excluding holidays.
  • The form could take up to 10 minutes to complete, depending on the complexity of the patient information.
  • Unlike same-day phone requests, online consult requests may take up to 24 hours to be processed.
  • We know you may not have the answers to all the questions. Keep in mind that the quality of the information you provide helps the consulting psychiatrist offer a more comprehensive consultation in partnership with you.
  • This form is secure and meets HIPAA requirements.
Loading... Loading...
You have selected an option that triggers this survey to end right now.
To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.