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Salvage Psychiatry Telepsychiatry Forms

Number of Forms found:

8

psychiatric Patient Intake Form

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Benzodiazepine and Stimulant Agreement

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Notice of Privacy Practices

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Practice Handbook

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HIPAA Notice of Privacy Practices

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Consent to Mental Health Services

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Client Safety Contract

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New Client Enquiery Form

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Mission

Salvage Psychiatry is working to make affordable mental health care accessible and affordable for all Americans with and without health insurance.

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If you or someone you know is experiencing emotional distress, the resources below provide free and confidential support 24/7. 

 

If this is an emergency, call 911.​

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Suicide Prevention Lifeline:

1-800-273-8255

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Crisis Text Line:

Text HOME to 741741

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View our list of Resources.

Resources

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Company

Sessions are only available 

Monday-Friday by 

APPOINTMENT ONLY.

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Services and Medication Management fees are based on a sliding scale.

 

Session durations range from 30, 60, and 90 minutes.

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Call: (818) 736-8939

Fax: (888) 259-4715

 

info@salvagepsychiatry.com

 

 

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Get Started

Please you must complete new Inquiry form before booking your appointment, This will allow for verification of insurance.

Thankyou

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New Client Inquiry Form

Sign Online Consent Form

Telemedicine Consent Form

Teletherapy Consent Form

 

Book your consultation

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