Request appointment | Sunshine Psychiatry & Wellness, PLLC

Sunshine Psychiatry & Wellness is a virtual (telehealth-only) practice that currently provides services to clients who are physically located in Florida or North Carolina at the time of their appointment.

If you are comfortable with psychiatric care entirely through Telehealth, please confirm and identify which state you will be physically located during your appointments.

I am comfortable and will be located in Florida during appointments. I am comfortable and will be located in North Carolina during appointments.

Sunshine Psychiatry & Wellness is a private pay practice and does not bill insurance directly. The fee for an initial psychiatric consultation is $500, due according to the practice's financial policy at the time of service. Are you comfortable proceeding with private pay, fee-for-service psychiatric care?

Upon request, a superbill may be provided for clients who wish to seek possible out-of-network reimbursement from their insurance plan. Reimbursement is determined by your insurance plan and is not guaranteed.

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Do you understand that Sunshine Psychiatry & Wellness provides care exclusively to adults ages 18+?

Please select “Yes” to confirm your understanding.

Yes, I understand No

Do you understand that the initial appointment is a psychiatric consultation to determine whether our practice is an appropriate fit for your needs and whether ongoing treatment will be offered?

Treatment recommendations are based on individualized clinical judgment. Scheduling a consultation does not guarantee ongoing treatment or the prescribing of any specific medication. Please select “Yes” to confirm your understanding.

Yes, I understand No

Do you understand that submitting this screening request does not establish a physician-patient relationship or guarantee acceptance into the practice?

Your request will be personally reviewed, and you will be contacted regarding next steps. Please select “Yes” to confirm your understanding.

Yes, I understand No

I certify that the information I have provided is accurate and complete to the best of my knowledge. I understand that submitting this request or scheduling an initial consultation does not guarantee acceptance into the practice or establish an ongoing treatment relationship. I also understand that all treatment recommendations, including the prescribing of medications or controlled substances, are based on clinical judgment and are not guaranteed.

Yes, I understand and agree. No, I do not agree.

Sunshine Psychiatry & Wellness is not an emergency or crisis service. If you are experiencing an emergency or are unable to keep yourself or someone else safe, call 911 or go to the nearest emergency department. Completing this form or scheduling an evaluation does not guarantee a particular diagnosis, prescription, or recommendation for ongoing treatment.

I understand and would like to continue with scheduling.

If your consultation request is accepted, additional intake paperwork will be required and must be completed prior to the day of the appointment to avoid cancelation or rescheduling. Instructions to complete the paperwork will be sent via email. To ensure you receive important communications, your invitation to create your unique Client Portal, appointment links, and reminders, please add YOURPROVIDER@SIMPLEPRACTICE.COM and CONNECT@SUNSHINEPSYCHIATRYANDWELLNESS.COM to your email contacts/safe senders list to prevent correspondence from going to spam. Please acknowledge your understanding below.

Yes, I acknowledge that I have added both addresses and understand that my appointment may be cancelled or rescheduled if all required paperwork is not completed prior to the day of my appointment.

Thank you for taking the time to complete this brief prescreening form. Your responses will be reviewed to help determine whether Sunshine Psychiatry & Wellness may be an appropriate fit for your needs. Submission of this form does not establish a treatment relationship or guarantee acceptance for care. I appreciate your interest in Sunshine Psychiatry & Wellness and look forward to the possibility of connecting with you!

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