Intake Appointment Process

Center for Emotional Health warmly welcomes all new patients at our facilities, whether they’re in Charlotte or other locations in North Carolina. All therapists, nurses, and physician assistants within the practice are overseen by our supervising physician.

Along with completing your new patient paperwork, your initial (intake) visit will consist of an evaluation with one of our licensed therapists. 

Fill Out the Intake Form

Gaining an accurate and thorough assessment during the intake appointment is vitally important to the overall success of subsequent mental health diagnosis and treatment. As such, intake appointments are around 1.5 hours, so please plan accordingly.

We have provided the new patient intake form below for your convenience. Filling out this form in advance and bringing it with you to your initial appointment will definitely help speed up the intake process.

To help determine if you qualify for financial assistance, please download, print and complete the Sliding Scale Application form.

Forms for New Patients

Please download, print, and complete the following forms:

You can also scan and email your paperwork in advance to [email protected] or fax to 704-246-7190.

Send Referral Information