Thank you for your interest in becoming a new client of Crescent City Psychiatric!
Submissions received will be reviewed in the order they are received. Patients will be called back to schedule an appointment within 24 hours of submission.
Please complete this form in its entirety. Incomplete or unanswered questions will require clarification from our staff and could delay appointment scheduling.
***All information submitted is confidential and HIPAA compliant. Information submitted to our office is data encrypted to ensure the highest level of security and privacy