ATTENTION: As encouraged by the Centers for Disease Control and Prevention (CDC), Genpsych, PC is implementing additional measures to prevent the spread of COVID-19.  As of Tuesday March 17, 2020 we will be operating remotely using telehealth services to provide ongoing treatment for all current and new patients. New program intakes, out patient evaluations, and follow up appointments are still being scheduled. Our PHP and IOP programming continues to operate on a virtual basis. To schedule an appointment or for additional information please contact one of our offices.


Electronic Registration:

  1. To complete registration forms electronically please click here.
  2. Please submit a release form for each individual you would like Genpsych to communicate with (emergency contacts, psychiatrist, therapist, primary care physician, etc.).
  3. Please submit telemedicine consent form to participate in telehealth services.

If you would prefer to print and scan the registration forms, please click download links below, and read the corresponding instructions.

Adult program intake forms

Teen/adolescent program intake forms

Adult program intake registration packet instructions:

  • All insurance information must be filled out.
  • 3 emergency contacts (parents are included)
  • Releases must be filled out and signed for every emergency contact.
  • Release forms must be filled out for anyone you want GenPsych to have communication with. (ex. referral, psychiatrist, therapist, etc.)

Teen/adolescent program intake registration packet instructions:

  • When filling out demographic information provide the patient’s info (with the exception of phone numbers and emails addresses)
  • All insurance information must be filled out.
  • 3 emergency contacts (parents are included)
  • Releases must be filled out and signed for every emergency contact.
  • Release forms must be filled out for anyone you want GenPsych to have communication with. (ex. referral, psychiatrist, therapist, etc.)