New Patient Information If you are considering treatment, please call us at (336) 722-7266 to discuss options. You can also schedule instantly on our online scheduler. If you leave a message, suggest a few specific times when we can best reach you. Please complete this form before your visit: New Patient Form Child/Adolescent Version You can send us your insurance information for online verification. If you have been in psychiatric treatment before, please send this form to places of past treatment: Record Release Form: pdf or ms-word version Lastly, our privacy policies are available here: Privacy Policy Frequently Asked Questions Which conditions do you treat? We specialize in mood and anxiety disorders, including: • Depression and Bipolar Disorder • Obsessive-Compulsive Disorder (OCD) • Post-Traumatic Stress Disorder (PTSD) We also treat conditions that frequently occur alongside the above disorders: • Insomnia and sleep disorders • Attention deficit disorder (ADHD) • Alcohol and substance abuse • Panic disorder • Borderline Personality: mood swings, anger, impulsiveness and self-harming behaviors. Do you treat children? Yes. We work with children age 14 and older for medication treatment and children age 6 and older for psychotherapy. We will sometimes see children under age 14 for medication treatment (depending on the condition) and will refer to a child psychiatrist if more specialized care is needed. Please make sure to use the Child/Adolescent Version of our new patient form. What are your office hours? Our office hours are different for each clinician. Appointments are generally available Monday-Saturday and several of our clinicians keep evening hours. We are available by phone Monday-Friday and for urgent calls on evenings and weekends. Do you accept insurance? We are in-network, and provide billing services, for the following plans: Aetna, BlueCross-BlueShield*, Cigna, United Health Care*, Medcost, CBHA*, Primary Physician Care, Conoco. Because insurances often impose limits on mental health benefits or contract those benefits to out-of-network carriers, you will need to contact your insurer to verify that services will be covered. You will find a step by step guide for this in the New Patient Form (or Child/Adolescent Version). We also offer an online verification form. Below are a few insurance tips: *For United Healthcare: some of our psychotherapists are out of network for United Health Care. Our in-network therapists for United are Ben Bentley, Liat Handing, and Gray Moulton. *For BCBS: please call if your BCBS plan is out-of-state, as we may not be in network for those. Also check if it says “CBHA” on the back (see below). *CBHA: This is the mental-health plan for Wake Forest and Baptist Hospital employees as well as other medical groups in the area. We are in-network for CBHA, but they do require you to call them prior to your visit to get an authorization number (at 800-475-7900 or check the back of your card). We are out of network for: Medicare, Medicaid, Magellan, Tricare and others. Other Plans: We also see people out-of-network or by private-pay if you are not on the above plans. We can provide you with receipts for out-of-network billing. What forms of payment do you accept? We accept cash, check and visa/mastercard/discover. Payment is due at the time of service. How can I assure privacy in treatment? We take great care to ensure that information you share with me is kept confidential. There are important limitations to confidentiality, such as when keeping it would threaten your own or someone else's life. This is described in more detail in our privacy policy. How can I find your office? The office is located at the corner of Polo and Reynolda Road, across the street from Wake Forest University in Winston-Salem. Click here for directions. What should I bring to my first visit? Please bring: 1) New Patient Form (or Child/Adolescent Version) 2) Insurance card 3) If you have been in treatment before, you can have your mental health records transferred to us by sending a release of information form to your previous places of treatment. If you wish to bring a friend or relative to your first visit we welcome that as that can be very helpful getting to know your situation better. If you are coming only for group therapy, you can complete the shorter version of our New Patient Form: the New Patient Group form and bring this with your insurance card to your first visit.