Center for Counseling & Neurofeedback
New Patient Registration
You can complete your new patient registration online or complete the paper form in our office.
HIPPA & CONFIDENTIALITY
Policies & Practices
Read our policies and practices to protect the privacy of your health information.
Registration for New Patients
Complete the online registration for new patients below or fill-out the paper registration in our office. Please arrive 15 minutes before your appointment to complete.