Services

About

FAQ

For Clients

Insurance & Billing

New to Pyramid Psychiatry?

Start your journey by filling out our secure form — it only takes a few minutes. From there, we’ll guide you every step of the way.

Become a client

Services

About

FAQ

For Clients

Insurance & Billing

New patient form

This secure form helps us understand your needs and determine whether we’re a good fit. It only takes a few minutes to complete. Your information is confidential and reviewed with care.

Patient full legal name

Date of birth

Preferred name (optional)

Sex (As registered with insurance plan)

Address

Phone number

Preferred method of contact

Emergency contact

Emergency contact phone number

Emergency contact email

Relationship to patient

Insurance information

How do you plan to pay for your visit?

I plan to use insurance

I will pay out of pocket

Insurance information

How do you plan to pay for your visit?

I plan to use insurance

I will pay out of pocket

Request for services

What services you are interested in?

How did you hear about us?

(e.g. referral from a hospital/clinician, Psychology Today, Google, social media, other)

What’s bringing you in?

Are you currently in therapy?

If yes, please include your therapist’s name.

Current medications (if any)

Past psychiatric medications (if any)

New clients

Existing clients

Insurance and billing

We’re here to help. If you have any questions email us anytime at admin@pyramidpsychiatry.com

New clients

Existing clients

Insurance and billing

We’re here to help. If you have any questions email us anytime at admin@pyramidpsychiatry.com

New clients

Existing clients

Insurance and billing

We’re here to help. If you have any questions email us anytime at admin@pyramidpsychiatry.com