Forms

As JPA and MindPath Care Centers continues to merge services, the following forms and documents have been updated. Please be aware that you will not need to resubmit any of these forms and old versions of these forms will be accepted. Thank you for your cooperation and understanding. 

New Patient Registration
Parents/Guardians of Minors

  • Psychiatric Evaluations
  • Medication Management
  • Ten Licensed Therapists
  • Treatment from Age 4

Office Hours

Mon-Thurs 9AM-6PM
Friday 9AM-3PM

Phone (919) 550-3323
Fax (919) 550-3379