Patient Resources
Everything you need to prepare for and manage your care at MindWell.
If you are in crisis or immediate danger:
Patient Forms
Complete these before your first appointment to save time and help us prepare. All forms are securely encrypted.
New Patient Intake Form
Demographics, medical history, current symptoms, and goals of care.
Download PDFMedication History Form
List of current and past medications, dosages, and any reported side effects.
Download PDFInsurance Verification Form
Provide your insurance information so we can verify coverage before your visit.
Download PDFInsurance & Fees
Accepted Insurance Plans
Don't see your insurer? Call us — we may still be able to accept it or provide a super-bill for out-of-network reimbursement.
Self-Pay Fees
Sliding Scale Available
We offer reduced fees based on household income. Contact us to enquire — cost should never be a barrier to care.
Frequently Asked Questions
Mental Health Resources
988 Suicide & Crisis Lifeline
Free, confidential 24/7 support for people in distress.
Crisis Text Line
Text HOME to 741741 to connect with a trained crisis counsellor.
NAMI (National Alliance on Mental Illness)
Education, advocacy, and support for mental illness.
Mental Health America
Screening tools and resources for mental health conditions.
NIMH (National Institute of Mental Health)
Research-backed information on mental health topics.
Headspace & Calm Apps
Guided meditation and mindfulness for daily stress management.
Accessibility Statement
MindWell is committed to providing accessible services to all patients regardless of ability. Our office building features wheelchair access, elevator, and accessible parking. Our telehealth platform supports screen readers and keyboard navigation.
Need a specific accommodation? Contact us at (212) 555-0100 or hello@mindwellclinic.com.