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In order to become a new patient you will have to complete our First Appointment Request Form. Use the button below to receive a link to complete the form online.You may include any additional questions in the email!

You may also download a copy of our appointment request form below and submit it to the office email: Office@lifespanpsychiatric.com
A sliding fee schedule is available for patients who may need reduced-cost services. Please contact our office to learn more about eligibility and options.
*Download Appointment Request Form below*
Please send the completed form to office@lifespanpsychiatric.com
First Appointment Request Form (pdf)
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