SCHEDULING

We ask that all prospective clients complete the intake forms linked below before scheduling. Completed intake forms can be emailed to us at info@moosilaukecs.com or faxed to us at (603) 919-1915. Once reviewed, a member of our team will contact you to discuss next steps.

If you are an existing client, we offer convenient scheduling via Healow

Please feel free to call our office at #603-691-3435 if there are any questions that we can answer for you.

We look forward to serving your mental health needs!

Healow.com

Adult Intake Form

Child & Adolescent Intake Form

We offer a secure and easy check-in process which will prompt you to review and sign the below documents electronically ahead of your first visit. This can be done either via a link sent to your cell phone 3 days prior to your appointment, or by using our kiosk at check-in.

MCS Practice Information

MCS Authorization for Treatment

MCS Privacy Practices

MCS Cancellation Policy

MCS Telehealth Consent

MCS Financial Agreement