Patient Information
and Forms

Thank you for considering NC Neuropsychiatry for you and your family's care. 

If you want to schedule an evaluation, please contact the office you would like to be seen in by phone or email.


The New Patient Coordinator will collect your information to ensure our practice is the right choice for your needs, verify insurance benefits, and schedule the first visit.


Once Your Appointment is Scheduled

Be Prepared For a Long First Appointment
New patient appointments are very comprehensive. This time may include some waiting while the patient is testing and information is gathered. Bring snacks, drinks (non-caffeinated) and any medication that will need to be taken during this time. Also bring quiet activities such as books, tablets, etc. We do have toys and magazines in the reception area.   We do not recommend bringing small children to the initial evaluation. 

Make Sure We Have Any Previous Records
Print the Release of Information Form below and take it to any providers the patient has seen who may have important information for our clinic to review. Medical Records may include:
  • MRI, EEG or any other brain scan reports
  • Recent lab work or blood work results
  • Records from therapists, psychologists, psychiatrists, neurologists, medical doctors, primary care providers, pediatricians, that you want us to review.
No Stimulant Medication Should Be Taken on the Day of the Visit
If the patient is currently taking a stimulant medication, it should not be taken on the day of the appointment.  Please feel free to bring it to the appointment.  Some common stimulant medications are Adderall, Adderall XR, Concerta, Dexedrine, Metadate CD, Metadate ER, Methylin ER, Ritalin, Ritalin LA, Ritalin SR, and Vyvanse.

Complete the New Patient Paperwork
Print the New Patient Packet below, complete it and bring it to the first visit. The New Patient Coordinator can also email, fax or mail you the packet.

Bring to the New Patient Visit
  • We encourage you to bring someone with you to the evaluation to aid in answering symptom questionnaires.
  • All forms in the New Patient Packet.
  • Your primary and secondary insurance coverage cards and co-pay or co-insurance.
  • A photo identification card (driver's license, etc.)
  • List of current medications
We look forward to meeting you!

New Patient and Medical Record Release Forms

When arriving to your New Patient appointment, please have the following forms filled out and bring them with you.
New Patient Packet Health Questionnaire
If you would like a copy of  your NC Neuropsychiatry medical records, please download the Medical Record Release Form below, complete the form and follow the directions to submit it to our practice.
Medical Record Release Form Notice of Privacy Practices

Insurance Information

Patients are responsible for understanding their behavioral health benefits. Please contact the Mental Health phone number on the back of your insurance card to ensure we are in network with your plan. Please be familiar with your deductibles and coinsurance as we do collect at time of service. Plans we participate with are:

• Aetna
• BCBSNC (except Blue Home, Blue Value & Blue Local hospital-sponsored plans)
• Cigna
• Coventry
• Friday Health Plan
• Humana
• MedCost
• Magellan Behavioral Health
• Medicaid Plans
• Medicaid Health Choice State Plan
• Medicare (original) and Railroad Medicare
• Medicare Advantage Plans – commercial replacement for original Medicare (most plans)
• Self-pay (discounted rates)
• United Healthcare/United Behavioral Health/Optum/UMR
• Wellcare
• Worker’s Compensation

Dementia and Aging Resources

Information contact for Wake County Senior Services: 919-719-1556 www.resourcesforseniors.org

Alzheimer’s Foundation:
https://www.alz.org/        24/7 Help Line 800-272-3900

Lewy Body Foundation:
https://www.lbda.org/         800-539-9767

AARP Dementia Resources Guide

WebMD Alzheimer's Disease Resource Guide

Dementia Caregiver Help & Support: navigating dementia, support groups, caregiver resources and more https://dementianc.org/helpsupport/


Driving evaluation resources
Local options to consider include: 
Duke Driving Program 919-684-2445
Driver Rehab Services 336-697-7841 
Bryant Driving School 782-3266
AARP Driving Safety 800-350-7025

A Place For Mom: Nationwide Senior Care referral service: 
866-671-3802

Home health care: Information line: 919-713-1556 
Visiting Angels: 919-787-4317
Home Health Hair Cuts: Karen Wright 919-675-5507

Meals on Wheels:

Wake County Senior Centers:
Morrisville Senior Center 919-463-7140
Apex Senior Center 919-249-3444
Garner Senior Center 919-779-3922
Cary Senior Center 919-462-3983
East Wake Senior Center (Wendell) 919-365-4248
Northern Wake Senior Center (Wake Forest) 919-554-4111
Five Points Center for Active Adults - Raleigh 919-996-4738
Anne Gordon Center for Active Adults at Millbrook - Raleigh 919-886-4738

Senior Daycare Centers:
Raleigh Total Life Center (Raleigh) 919-873-1870
Cary Total Life Center (Cary, Bond Park) 919-460-9008
East Wake Total Life Center (Wendell) 919-365-4248
Garner Total Life Center (Garner United Methodist Church) 919-773-3790
Sara Care (Raleigh) - 919-746-7050

Senior transportation services: medical appointments, grocery shopping etc.

Public transport for seniors: 
GoRaleigh Access 919-996-3459 
Door to Door - TRACS Go Wake - 919-872-7933

Senior Legal Services:
Richard Nordan in Raleigh at https://www.wallacenordan.com/
Walker Lambe in Durham https://www.walkerlambe.com/
NicholsonPham in Durham https://nicholsonpham.com/ (LGBT friendly)
 
Geriatric and Aging Psychotherapy/Counseling:

Orange County Dementia and Aging Resources:
Alzheimer’s Orange County: 844-373-4400 call for referrals to legal services, respite care, in-home care, adult day centers, support groups, and more

Adult Day Care Center – Healthy Aging Center: https://www.alzoc.org/orange-county-adult-day-services/


Orange County In-Home Care Agencies: https://www.alzoc.org/resources/in-home-care-agency/