Las Colinas Psychological Services

Las Colinas Psychological Services Send Message

Your info

First name

Last name

Phone

State (if not living in Texas)

Reason for care

What has you seeking care at this time?

Anxiety Attentional difficulties Behavioral issues Chronic pain or chronic health issues Depression Grief and loss Life transitions Relationship issues Substance use issues Trauma Other

What kind of care are you seeking?

Psychotherapy Medication (Note: As a psychologist, Dr. Novinski does not prescribe or manage medications.) Other Not sure

What mental health concerns or treatment have you had in the past?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Attempted suicide in the past None of these apply

Administrative

What questions do you have, or how should your inquiry be directed?

Referral source

How were you referred, or how did you find Dr. Novinski?

Billing & Payment

Payment method

Would you be planning to file with insurance or pay out of pocket for therapy?

Client Preferences

Preferred appointment times

In-office appointments are available on Mondays and Thursdays. Telehealth appointments are available on Tuesdays and Thursdays.

Morning (9-11 am) Afternoon (12-4 pm) Evening (5-6 pm)

Are you interested in telehealth or in-person appointments?

Is there anything that you would like the clinician to know?

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If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice.