Request an Appointment

First name

Last name

Phone

Please tell us why you are requesting this appointment.

Please Acknowedge

I permit Providence Family Psychiatry to contact me at the phone number and email provided above. I also understand that PFP only communicates during its business hours which do not include Friday, Saturday, or Sunday.

I understand that initial appointments for patients under the age of 18 the minor must be accompanied by a parent or guardian.

I understand that Providence Family Psychiatry is not accepting patients who are receiving or wish to receive high dose benzodiazepines, high dose stimulants, or who have problematic or daily use of illegal substances.

I have reviewed the Providence Family Psychiatry website tab "Visit Types and Fees" and I understand that PFP is not in network with any insurance companies and, if deemed appropriate for an initial appointment a $425 initial parment is required via credit or debit card at the time of scheduling.