HELP LINE NOW 954-530-4526
NEW PATIENT GUIDE

Welcome, we will do our best in making this a positive experience.
Our main goal is to meet your needs in a safe environment, where dignity and respect will prevail at all times.

Before your First Appointment

Please complete the APPOINTMENT REQUEST FORM and the staff will contact you to discuss your benefits and options.

If you are requesting an appointment for individual services then:

You will receive an email with instructions to complete a clinical screening form on a secure site. The practice will review your information within 24 working hours and will determine which clinician will be capable of providing you services. If your needs are outside of the scope of the practice you will be notified and at times given referral suggestions.

You will then be giving additional instructions in preparation to your first appointment.

If you do not have access to a computer or have special needs please let us know so we can accommodate your needs.

If you are requesting an appointment for the Intensive Outpatient Program or Day Treatment Program:
The staff will contact you as soon as possible to discuss treatment options and how to schedule an appointment to determine your needs.

Cancellations:
If your appointment has been scheduled and you need to cancel please communicate with us via telephone or email at least forty eight working hours in advance so you are able to schedule a new appointment in the future.

On the day of your first appointment

Please arrive at least thirty minutes prior to your appointment or an hour if no documents were completed online. The clinician will not be able to see you any later than your scheduled time.

The following will be required:

  • A picture Id and your medical insurance card(s).
  • Your medication list with strengths and directions.
  • The name(s) and contact information for your treating physicians or clinicians.
  • A copy of the Health care proxy, guardianship or health care power of attorney if your family member is not competent to provide medical consent.
  • A form of payment as cash, debit or credit card. The office has a NO CHECK POLICY. Payments will be collected at the time that services are rendered.

For IPN, PRN and DOH Participants:
Please make sure that your case manager knows your appointment date immediately so he or she send us the required documents prior to your appointment date. The required documents will need to be available to us at the time of your appointment.

Know where you’re going.

Review maps and directions

RequiredWho referred you to this practice:

Are you seeking care with an specific clinician?
No
Yes
Clinician Name

What service(s) are you seeking:
Psychiatric Evaluation with medication management
Psychiatric 2nd Opinion
Comprehensive Psychiatric Assessment (Multidisciplinary)
Psychotherapy
Intensive Outpatient Treatment Substance Abuse (IOP-SA)
Intensive Outpatient Treatment Substance Abuse and Mental Health (IOP-DUAL)
Day Treatment (Partial)
Intervention Project for Nurses IPN, Evaluation
Professional Resource Network, PRN, Evaluation
Outpatient Detoxification
Specialized Drug Testing
Family Intervention
Family Therapy
Clinical Supervision
Group Therapy
RequiredWho will cover for your services:
Self-Pay
Family Member
Insurance Name (In network)
Insurance (Out of network)
Medicare/2ry
Other

RequiredPatient Name:
RequiredLast Name:
RequiredDate of birth: (mm/dd/yyyy)
RequiredAddress:
RequiredState:
RequiredCity:
RequiredZip code:
RequiredMobile:
RequiredEmail:
Do you authorize communication by email?
Yes
No
RequiredHow soon you need to be seen:

Any special request related with appointment hours or days

We will contact you as soon as posible, if you do not receive a call or electronic communication from us in 24 to 48 business hours please call us at 954-530-4526, thanks.



The staff will contact you via telephone to discuss your benefits and treatment options.
Horizon Behavioral Center

APPOINTMENTS 954-530-4526
EMERGENCY CALL 911