- If you are experiencing a life-threatening medical emergency, please call 911 immediately or visit the nearest emergency room. Do not wait for a scheduled appointment or attempt to drive yourself to a hospital if you are facing a critical health crisis.
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- We apologize for the inconvenience, we only see patients 16 years of age or older.
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Please Note: There may be a slight delay of 1-2 minutes in processing your attachments based on their sizes. You're requested only to attach them once and wait for them to load.
Your understanding is greatly appreciated.
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Do you have any changes in Medication? (YES)
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Please Note: There may be a slight delay of 1-2 minutes in processing your attachments based on their sizes. You're requested only to attach them once and wait for them to load.
Your understanding is greatly appreciated.
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Suicidal Ideations (CCSR)
Immediate Steps for Your Safety
Based on the outcomes of your recent safety assessment at Mid Cities Psychiatry,
we urge you to take the following immediate steps:
If you need immediate help, please call 911.
or Visit an Emergency Room Near You
or Reach out to family or friends for support during this time.
or Contact the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255)
or text "HELLO" to 741741 for 24/7 confidential counseling.
For more information, visit our Patient Resources webpage.
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Homicidal Ideations
PLEASE Go To Your Nearest Emergency Room or Call 911.
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Dependent Care Resources
Dependent Care Resources
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Psychiatric Advance Directive Question:
Psychiatric Advance Directive
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Legal Need Resources Question
Legal Need Resources
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Vocational Need Resources Question
Vocational Need Resources
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RCN
- I acknowledge Mid Cities Psychiatry's policy for rescheduling, canceling, and no-shows. I must inform Mid Cities Psychiatry at least 24 business hours before my appointment for changes. Weekends, long weekends, and national holidays are excluded as they are non-business hours. Non-compliance will incur charges as per the RCN Fee Schedule:
• 40 minutes meds management appointment no-show fees would be $150.00
• Psychologists' appointment no-show fees would be $150.00 per hour
• Therapist's appointment no-show fees would be $150.00
• 20 minutes meds management appointment no-show fees would be $75.00
To avoid these charges, please reschedule or cancel in more than 24 business hours in advance, considering our office closure on weekends and holidays. This field is hidden when viewing the form
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TMS
- Mid Cities Psychiatry provides Transcranial Magnetic Stimulation aka TMS Therapy.
TMS Therapy is an alternative treatment for patients suffering from depression for whom medication has proven ineffective. and provides new hope for people who want to reduce or possibly eliminate the use of prescription medications to treat their depression.
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Please specify your preferred future appointment date?
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- Subject to your insurance eligibility (if you have insurance), our appointment team
will call you ASAP to schedule an appointment for you on the next available appointment slot. - Please note that we cannot guarantee the requested appointment date. Our dedicated Appointment Team
will contact you to schedule an appointment. This is subject to your insurance eligibility. Rest assured, your needs are important to us.
If you don't hear from us within 24 business hours, please contact us at 817-488-8998 ext 2 or e-mail us at [email protected]. - Please Note, processing your form may take 1-2 minutes.
To avoid delays, kindly press the submit button only once and wait for the thank you message.
We appreciate your patience.
