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Main Office 887 B Rio East Court Charlottesville, VA 22901 Phone: (434) 220-4686 Fax: (434) 220-4687
Satellite Office 199 Spotnap Road, Suite 4 Charlottesville, VA 22911 Phone: (434) 995-5600 Fax: (434) 995-5620
Serving the mental health needs of Virginia's families
Please come 15 minutes early for your first appointment!
New clients will receive registration forms to complete after the initial intake process. View our forms here:
Patient Information
Fees
HIPAA and Privacy Practices
Child Patient Registration (ages 2 - 11)
Adolescent Patient Registration (ages 12 - 17)
Adult Patient Registration
Authorization for Release of Information
Consent for Electronic Communications
Informed Consent for Mental Health Treatment by Video Conferencing
Contract for Psychiatric Evaluation
