These forms can be completed online by enabling editing, and emailed to Contact@ColoPsychiatric.com
or printed & mailed or faxed.
Please tell us why you are needing an appointment and your current & previous psychiatric medications.
We will reply by email once the completed forms and pharmacy records have been reviewed & approved.
PLEASE NOTE:
We do not prescribe addictive medications, and can not see patients who are Using
or requesting addictive medications.
We do not complete assessments, evaluations, applications or re-applications for disability, FMLA, EAP or ESA and can not see patients on disability or considering applying for disability, and do not do forensic psychiatry.
We do not accept out of network, uninsured, self-pay or Medicaid, patients living in facilities, homeless
or needing injectable psychiatric medications.
Please contact your insurance carrier for a list of providers who offer these services.