I AM NOT CURRENTLY ACCEPTING NEW CLIENTS

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  • New Clients
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    • Home
    • About Nell Peiken
    • New Clients
    • Policies
    • Referrals
  • Home
  • About Nell Peiken
  • New Clients
  • Policies
  • Referrals

Note to new clients

Medication Management

Medication Management

Medication Management

I provide medication evaluations and manage psychiatric medications for children, adolescents and adults. I do not provide psychotherapy. 

Therapy Requirement

Medication Management

Medication Management

All clients must currently be active in therapy and must continue to engage in regular therapy sessions while in treatment with me. 

Insurance

Intake Scheduling

Intake Scheduling

I accept Blue Cross Blue Shield insurance or out of pocket payment only.

Intake Scheduling

Intake Scheduling

Intake Scheduling

My intake appointments typically take about 90 minutes. Because of this extended length of time, I only schedule intake appointments in the mornings to keep the afternoon and evening times available for follow-up visits.

New clients: scheduling an appointment

1: Download

1: Download

1: Download

Please download two forms: a brief mental health history form and an insurance information form. These are available for download on this page.

2: Complete

1: Download

1: Download

Complete either the adult or the child mental health questionnaire as well as the insurance information form.

3: Send

4: Schedule

4: Schedule

After completing the two forms, please either fax or e-mail them to me.


fax: (888-262-4895)
email: info@nellpeiken.com

4: Schedule

4: Schedule

4: Schedule

 Once I have received and reviewed the forms, I will e-mail you to schedule an appointment. 

Adult Mental Health History Form

Adult Mental Health History Form 5.10.18 WORD (docx)Download

Child/Adolescent Mental Health History FOrm

Child Mental Health History Form 5.9.18 WORD (docx)Download

Insurance Information Form

Insurance Info Form 10.9.19 WORD (docx)Download

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