Opening Hours: Mon - Fri : 8.00 am - 5.00 pm, Weekend Closed

Info@psychcare360.com

307-333-1123 -OR- 515-585-0008

New Patient Paperwork

It is requested that you complete your intake papers as soon as possible after scheduling your intake session in order to be well-prepared for your first visit. Your paperwork can be completed online via the patient site or downloaded as a fillable PDF file. If you do not understand a policy or have additional questions, please call us at 307-333-1123-Wyoming 515-585-0008-Iowa.

  • Full Intake Packet
  • Notice Of Privacy
  • Payments, Fees, Insurance, and Release of Billing Information
  • Assignment of Benefits
  • Medication History Authorization
  • 360 Psychiatry Services
  • Prescription Policy
  • Attendance Policy
  • Cancellations and No-Shows
  • Requests & Policies
  • HIPAA Privacy Release of Information

Get In Touch

Wyoming Patients

Cheyenne, Wyoming

info@psychcare360.com

307-333-1123

Fax: 307-215-1187

Get In Touch

Iowa Patients

Des Moines, Iowa

info@psychcare360.com

515-585-0008

Fax: 307-215-1187

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