Self - Referral
NO WALK-IN APPOINTMENTS ARE AVAILABLE. THE PROVIDER IS ONLY AVAILABLE DURING BUSINESS HOURS BY APPOINTMENT ONLY. IF YOU ARE EXPERIENCING A PSYCHIATRIC OR MEDICAL EMERGENCY- DO NOT SCHEDULE AN APPOINTMENT ONLINE. INSTEAD, DIAL 9-1-1 OR GO TO THE NEAREST EMERGENCY ROOM!
The practice is currently accepting new clients. Caring Hearts is a paperless practice and all of our forms can be completed online. After, you complete the online pre-screening questionnaire, it will be reviewed by the provider. If accepted as a client, you will receive an email invite to join our patient portal. After your first appointment with Dr. Samake, you will be able to book your future appointments online. Established clients can always conveniently book appointments online. If you are a provider (physician, NP/PA, social worker, therapist & etc.) and you would like to refer a patient to Caring Hearts Psychiatric Mental Health Services, please contact our office and we will send you the referral form via fax or email.
COMPLETE THE ONLINE SELF-REFERRAL
(PRE-SCREENING QUESTIONNAIRE)
The provider will review your completed pre-screening questionnaire
BOOK YOUR APPOINTMENT ONLINE (EASY & CONVENIENT)
After Dr. Samake reviews your completed pre-screening questionnaire, if she accepts you as a client, you will receive an invite to join our patient portal. After your first appointment with Dr. Samake, you will then be able to book your future appointments online.
YOUR APPOINTMENT DAY
Please plan to arrive 15 minutes before your scheduled appointment.
Please bring the below items:
-State issued photo identification
-Insurance card (if applicable)
- Minor:s The legal custody papers (if applicable)
-Please bring all prescription bottles