New Patient Forms in Peoria, IL
At Associates in Mental Health, SC, we want your first visit to be as smooth as possible. Completing your paperwork before your appointment allows our team to gather important information and prepare for your visit.
We have simplified our forms into two convenient downloadable packets: an Adult New Patient Form and a Child New Patient Form. Please select the appropriate packet, print and complete the forms, and bring them with you to your appointment.
If you have questions about the paperwork or what you need to bring, call
309-637-4266. Our team is happy to help.
Download New Patient Forms
At Associates In Mental Health SC, we offer a wide array of treatments to ensure the well-being of your overall mental health. Download the new patients form by clicking the link given below. Call us today for details.
Thank you for your submission! A copy of your completed form has been sent to your email address. Please print it and bring it with you to your appointment.
Please try again later.
Child New Patient Form
The Child New Patient Form is for children and adolescents age 18 and under. The packet helps our team collect information about the child, parent or guardian, insurance, health history, current concerns, and other details needed for the initial appointment.
Thank you for your submission! A copy of your completed form has been sent to your email address. Please print it and bring it with you to your appointment.
Please try again later.
Adult New Patient Form
The Adult New Patient Form is for patients age 19 and older. The packet collects general information, contact details, insurance information, medical and mental health history, and other information that may help your provider understand your needs.
Thank you for your submission! A copy of your completed form has been sent to your email address. Please print it and bring it with you to your appointment.
Please try again later.
Adult New Patient Form
The Adult New Patient Form is for patients age 19 and older. The packet collects general information, contact details, insurance information, medical and mental health history, and other information that may help your provider understand your needs.
Thank you for your submission! A copy of your completed form has been sent to your email address. Please print it and bring it with you to your appointment.
Please try again later.
Child New Patient Form
The Child New Patient Form is for children and adolescents age 18 and under. The packet helps our team collect information about the child, parent or guardian, insurance, health history, current concerns, and other details needed for the initial appointment.
Thank you for your submission! A copy of your completed form has been sent to your email address. Please print it and bring it with you to your appointment.
Please try again later.
Before Your First Appointment
Please print and complete the appropriate packet before arriving at our office. We also recommend bringing your insurance card and picture ID to your first appointment. Associates in Mental Health, SC currently provides forms as downloadable, printable packets rather than an online fill-and-submit form. This helps keep sensitive patient information protected. If you are unsure which forms apply to you or your child, call our office before your appointment.
Questions About Your Forms?
Our team is here to make the process as simple as possible. For questions about patient forms, appointments, or mental health services in Peoria, IL, contact Associates in Mental Health, SC, at 309-637-4266.
Call today to learn more or prepare for your first visit.