Your Mental Health is our Passion

Dr. Hany Mekhael, M.D., Child, Adolescent and Adult Psychiatrist

Home
Meet Dr. Mekhael
Client Types
Services
FAQ
Insurance
Useful Links
Self Diagnostic
Contact us
Maps / Directions
Download Forms

  Legal Disclaimers
 

  Referring Physicians Set an Appointment Billing Question Care Question Refill Prescription

 

 

To Schedule An Appointment
Our website is routinely checked and we will get back to you in 72 hours. If you need immediate assistance, please call our office.
Name: Last:
First
:
Middle Initial:
Date of Birth:
Address:

Is this a new address? Yes No

Phone:


Is this a new phone number? Yes No

Fax:
E-mail:
Doctor you are seeing:
Reason for appointment:
Return Visit
Nurse Visit
Nurse Practitioner Visit
Reschedule an existing appointment
If rescheduling, what is the date of the existing appointment?
Preferred Dates:
Preferred Time of day:
Other Comments:
As soon as possible:

 

 

 

• Home • Meet Dr. Mekhael • Client Types • Services • FAQ • Insurance • Useful Links • Self Diagnostic • Contact us • Maps / Directions • Download Forms •