© 2025 Mindful Behavioral Healthcare. All Rights Reserved. Visit Neurostar.com for indication for use and safety information.
ENGLISH | SPANISH
Call or Text: 407-846-0533
To better provide you with fast and quality service, please download, complete, and return the appropriate documentation from the box below before your next visit.
Please download, complete, and return this form if you are a new patient or have been instructed by the office to do so.
This form is included in the “Welcome Packet” document. However, please feel free to download, complete, and return it to the office, so we may release and/or obtain confidential information.
This form is to be filled out before the first visit if the patient is a minor and it must be filled out by the patient’s teacher. This form may also be completed if you are instructed by your clinician to do so; however, please keep in mind that it must be completed before their next visit.
This document has a complete listing of the insurances we accept.
© 2025 Mindful Behavioral Healthcare. All Rights Reserved. Visit Neurostar.com for indication for use and safety information.