WE THANK YOU FOR YOUR INTEREST IN BECOMING A PATIENT AT THE Nexus Group!
PLEASE REVIEW THE 
CLINIC POLICIES BEFORE CONTINUING. 

 


In order to potentially become a patient at the clinic, we ask that you first complete the secure online intake form by clicking the button at the bottom of this page.

After completion of this form, we typically will contact you within one week prior to scheduling your first appointment..

Completion of the intake paperwork does not guarantee an intake appointment nor constitutes a treatment relationship with the clinic. 



NEW PATIENT INTAKE FORM

Please click below to complete the new patient intake form.

Please note: this form should be filled out in its entirety. Any sections left blank may cause a delay in our responses back to you and the scheduling of your initial appointment. Please click “Submit” once you complete the form.