New Patients

Thank you for choosing us for your therapy needs. We are excited to start the process of helping you find peace and a fulfilled life.

STEP 1: Review the Patient Information Release Form and be ready to discuss it during your intake phone call.

STEP 2: Fill out the below form. Once we receive this information, we will call you and collect some additional details including your insurance information.

* RED = REQUIRED

FINANCIAL POLICY

The below statements constitute our financial policy. Please check all indicating that you have read and agree to be bound by them while a patient of Dr. Robert S. Maris Ph.D., P.A. All are required.

NOTE: Most insurance companies have waived co-pays and deductibles for Telemedicine during the COVID-19 pandemic. Check with your carrier to confirm.

BY SUBMITTING THIS FORM, YOU AGREE THAT ALL OF THE ABOVE INFORMATION IS TRUE AND ACCURAGE TO THE BEST OF YOUR KNOWLEDGE.