In an emergency call 911Call or text 988 for the Suicide & Crisis LifelineText HOME to 741741
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Patient forms

Patient Forms

Completing your paperwork before you arrive means your first appointment is spent talking rather than writing. Choose the packet that matches the care you are starting.

  • LBHS Forms

    New patient paperwork for psychiatry, medication management and individual therapy visits.

    Open LBHS Forms

  • TMS Forms

    Screening and consent paperwork for NeuroStar TMS therapy, completed before your mapping appointment.

    Open TMS Forms

  • LivingFree365 Forms

    Intake and treatment agreement paperwork for the LivingFree365 Suboxone outpatient program.

    Open LivingFree365 Forms

What happens next

  1. 1Print and complete the packet for your visit type.
  2. 2Bring it with you to 3430 Newburg Road, Suite 210, or call (502) 454-8800 if you need a copy mailed.
  3. 3Arrive 15 minutes early so front desk can check your insurance.
Request an Appointment

Prefer to talk? Call (502) 454-8800. We respond within one business day.

Request an appointment

Tell us how to reach you and what you're looking for. We'll confirm your insurance, answer your questions, and find a time that works. No long intake before you hear from a person.

  • We respond within one business day.
  • Most insurance accepted, including TRICARE and Medicare.
  • In-office visits on Newburg Road, plus telehealth.
Call (502) 454-8800

We respond within one business day.

If this is an emergency, call 911. For a mental health crisis, call or text 988, or text HOME to 741741.This form is for scheduling only. Please do not include symptoms, diagnoses, medications, your Social Security number, or date of birth. We'll gather clinical information securely once your appointment is scheduled.

Prefer to talk? Call (502) 454-8800.

Your request is handled under our Notice of Privacy Practices and Website Privacy Policy.