972-566-4591

New Patient

STEP 1 CLICK ON LINK BELOW

 https://hipaa.jotform.com/201674278457060  

step 2 COMPLETE all FORMS VIA LINK

Once completed click submit  

Step 3

Text a picture of your insurance card(s) (front & back) and Driver’s license (front only) to 972-566-4591  

Step 4

Once your information is reviewed a member of our staff will call you to schedule an appointment.  

Any question please call the office at 972-566-4591

  1. Home
  3. New Patient

Have a Question? Let’s discuss it.

  • View our list of Insurance companies we currently accept.

    Any message submitted cannot be guaranteed to be received, read or answered, within any specific timeframe. PLEASE DO NOT submit sensitive or confidential information via email. The Holiner Psychiatric Group cannot guarantee the delivery and/or confidentiality of any email message submitted. A physician is on call for urgent matters after office hours. If this is a medical emergency, please call 911. For the National Suicide Prevention Lifeline, please call 1-800-273-TALK (8255)

 

Menu