New Mental Health Patient Registration Form

PLEASE READ - After we receive this completed registration form, we will email you the relevant paperwork (multiple forms) necessary for the appointment. Please allow us 24 hours to send the email. Keep an eye on your spam folder! Once we have received your completed and signed paperwork, we will reach out to you to find a time and day for the appointment.
Please explain why you would like to see Risa Cole in 1-2 sentences (ex: Depression, Anxiety. ADHD, Bipolar etc)