Get Started PA

Patient's First Name

Patient's Date of Birth

Patient Home Address

Preferred Contact Method

Gender (assigned at birth)

Is patient under 18?

Yes No

Parent/Guardian Full Name

Relationship to Patient

Parent/Guardian Phone Number

Parent/Guardian Email

What type of insurance do you have?

What type of services are you interested in?

Psychotherapy (talk therapy):
Traditional therapy services provided in outpatient or telehealth settings. Psychiatric Evaluation:
Comprehensive initial assessments covering developmental, psychosocial, and symptom history to inform treatment planning. Medication Management:
Follow-up visits with psychiatrists or nurse practitioners to monitor response, adjust prescriptions, and discuss side effects. KNECT (Intensive Outpatient Program, IOP):
Structured support combining psychiatric care, therapy, medication oversight, and assessments for extended treatment outside hospitalization. Unsure:
Not sure where to start but want to get started

Are you seeking services due to a current court order?

Yes No

Do you need Disability or FMLA paperwork completed?

Yes No

Are you anticipating treatment with controlled substances (e.g. Adderall, Xanax, Klonopin etc.)

Yes No

Do you have any pending legal issues related to mental health or substance abuse?

Yes No

Have you been referred to or engaged with any detox/rehab/substance abuse services in the past 90 days?

Yes No

Have you had thoughts of self-harm or suicide in the last 2 weeks?

Yes No

Please fill out the Book an Appointment form and our team will be in touch to schedule your appointment the same business day.

We were recently informed that a large provider of outpatient psychiatric care discharged patients from care due to their discontinuation of services. InSite currently has the availability to accommodate new patients via telehealth or in-person.

Get Started with InSite Health

Book an Appointment