All programs are CARF-accredited.
Patient Intake Form
Patient Consent for Telehealth TX and Services
Patient Agreement of Financial Responsibility
EMAIL, SMS MESSAGING & TELEHEALTH CONSENT
Referral for Services
Patient Portal Access
Make a Payment
Join Dr. Allibalogun for your visit
Join Dr. Omobo for your visit
Join Dr. Christiana for your visit
Join Ms. Nada Wilson, LCPC for your visit
Join Nada Azmy, LCPC for your visit
Join Raquel Clarke, LMSW for your visit
Video Testimonial
Submit Payment Here
Menu
Close
Home
Welcome
Page
About Us
Who We Are
Our Approach
Meet Our Team
Programs
& Services
What We Do
Available Programs
Accepted Insurance and Self Pay
Home &
Hospital
Forms
Policy
FMLA
Forms
Policy
Medication
Management
Policy
Controlled
Medication
Policy
Psychometric
QB testing
for ADHD
No show
/Cancellation
Policy
Therapy
Policies and
Accountability
Insurance
Deductibles
Careers
Job
Opportunities
Forms
Documents
Preceptorship
Internship
Application
Consulting
Services for
Providers
Testimonials
Comments
Contact Us
Get In Touch
Email, SMS Messaging & Telehealth Consent
Home
>
Email, SMS Messaging & Telehealth Consent
Fill and submit the form below with the correct information.
We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it.
Ok