NEW PATIENT REGISTRATION

If you are a new patient to FCA, please click below and you will be taken to a secure payment portal to make your Initial $50 Deposit, which will be applied to your initial office evaluation visit with your provider. This is a non-refundable fee, however, please contact our office if you are unable to keep your first appointment due to an emergency situation and we will reschedule your visit. Please fill in all applicable sections of the New Patient Registration Form and submit your secure, HIPAA compliant signature in agreement. This will eliminate the need for you to complete paperwork at the time of your initial visit and speed up your process of getting started at FCA.

Family Counseling Associates

FOLLOW THE LINK BELOW TO BEGIN YOUR
REGISTRATION AS A NEW PATIENT