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  • About Us
  • Insurance Plans Accepted
  • Contact Us
  • Appointments & Fees
  • Patient Portal

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  • Bookings
  • My Account
  • Sign out


  • Sign In
  • Bookings
  • My Account

New Patient Forms

  • Prior to the first appointment with the provider you must fill out the patient forms.  
  • You must submit a picture of your driver's license (or state-issued identification) and your insurance card to info@premedypllc.com at least 48 hours prior to your initial evaluation.

Depression Scale Form (pdf)

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New Patient Questionnaire (pdf)

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Consent Form & Policies Aggreement (pdf)

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Payment Information Form (pdf)

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