New Patient

If you are a new patient and would like to schedule an appointment,

you may call the office or fill out the Initial Contact Form and submit to us electronically. Once we receive your electronic request out staff will contact you to coordinate the date and time of your appointment. The electronic submission of essential patient's information is preferred due to high volume of incoming calls which sometimes could be associated with extended waiting time.

INITIAL CONTACT FORM

Type of services:
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Thank you! Your information has been submitted successfully. We will contact you shortly. CIPM LL

You have to arrive 15-20 minutes early for the initial evaluation to fill out the paper work. Thirty and more minutes late for the initial evaluation will result in cancellation of your appointment and appropriate missed/ late cancellation fee will be applied. 

All services provided in our Psychosomatic Center (CIPM LLC) are qualified as a self-pay. The self-pay patients or patients with out-of-network benefits will be required to pay the full fee prior to each service provided. We accept only cash payments for any Initial Psychiatric Evaluations. Please note that no other payment methods will be accepted for 1 hour long Initial Evaluation.

We accept cash, checks and PayPal payments for any follow-up appointments. No credit cards are accepted. There is a % fee ($5-10) associate with the use of Business PayPal. Please log in to PayPal and search for our business email [email protected] to make a payment prior to the services provided. Patients should contact their insurance companies to determine their out-of-network benefits. Effective January 2014 Dr. Venera Miller’s Medicare status has changed to Non-Participating Medicare Provider. We will provide information to help patients submit for Medicare or out-of-network reimbursement on their own from their insurance company.

 For any Initial evaluations or initial appointments you will be required to pay in full by cash only before the service provided!!!