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September 2025

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APPOINTMENT TIME 09:45pm on Wed, Sep 24, 2025

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WHAT BRINGS YOU HERE TODAY?
Share a few sentences about the type of care you're looking for, the things you'd like to focus on with a provider, and any previous experience you might have with therapy.

These questions help us ensure you receive the most appropriate care.

1. In the past 2 weeks, have you had thoughts about harming yourself?

Yes, without a plan or intent

Yes, with a plan or intent

2. In the past 2 weeks, have you had thoughts about harming someone else?

No Yes

3. Are you currently experiencing hallucinations (hearing/seeing things others do not) or strong paranoia?

No Yes

4. Have you been in a psychiatric hospital, inpatient, or residential program in the past 30 days?

No Yes

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Missed and Late Cancel Office Policy: Our office requires two full business days’ notice (48 hours) to cancel or reschedule your appointment or your credit card will be charged a late cancellation fee. Saturdays, Sundays, and Legal Holidays are not counted as business days (i.e., if you have an appointment on Monday at 11:00 am, and you wish to change it without penalty, you would need to call our office on the preceding Thursday morning before 11:00 a.m. to avoid the late cancellation fee). The late cancellation fee is $150 for a session with a psychiatrist, or $100 for a session with a psychologist or master’s level therapist. If you are not present at the start time of your scheduled appointment, it may be marked as missed by your provider. Unfortunately, we cannot bill your insurance for late cancellations, missed sessions, and appointments with too little time. We apologize that there are no exceptions to the late cancellation policy.

Darrell Steward

Adult Psychiatry

Psychiatrist

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September 2025

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