New Patient Forms
If you are interested in becoming a new patient, please download and complete the new patient demographics form and submit it to our office via our secure email admin@spacecoastpsych.com. If you do not have the ability to download the forms, you can call the office and we will send them to you. We utilize the information provided in the packets to help us formulate an individual care plan, as well as to determine if our office will be a good fit for your needs. We can't move forward in scheduling until we receive the packet back to review. Once the packet is submitted, please allow us adequate time to respond. While we would love to accept all patients into our practice, not all patients will be scheduled. Unfortunately we are a small private practice and do not have the resources to accommodate complex patients who require a higher level of care. If after reviewing your completed new patient packet and it is determined that we are unable to meet your psychiatric needs, we will provide additional resources.
If you are in a crisis, you should call 911 or go to your closest Emergency Room or Psychiatric Urgent Care. You can also utilize the 24 hour Suicide Hotline by dialing 988. You can reach other community resources at 211.
If you have any questions, please call our office at 321-622-3222