Request an Appointment

Danielle Norris PMHNP - Cedar Psychiatric Associates

Please correct the errors described below.

Client Information

Accepted clients will need to provide an email address. This is used to set up access to the secure client portal which is required to receive services. Parents, if you coordinate appts for your child, it is recommended you use your email address here. We can add the minor's email address if they would like separate access after the first appt.

About Your Appointment

Please list any medications you are currently taking, dosages are not required. If none please state NONE.
If there's anything else that you would like us to know prior to your appointment, please include it here.
If uncertain, please send a photo of your card to admin@cedarpsych.hush.com. This is our secure email and we will be better able to determine your benefits.

If you are uncertain as to any information on your insurance card, mark N/A in the boxes for insurance and email a picture of the card to admin@cedarpsych.hush.com.

If you are a dependent and are not the PRIMARY insurance holder you need to complete the following information.

If different than client
If different than client
***All secondary insurance must be reported. If you don't know which of your insurances is primary or secondary that is fine, but this office will need both insurances information to determine this. If you choose to not provide information for all valid insurances then you run the risk of claim denials and being responsible for any charges your insurance refuses to pay. ***
Please also list the name and date of birth of the insured if different from the client.

Your information will be encrypted.

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