New Clients

Please complete either the adult or pediatric intake paperwork, based upon whether the client is 18 years of age or older. Please also complete the Billing Intake Paperwork for both pediatric and adult clients.

You will need to bring the completed paperwork to the first appointment or arrive 15 minutes early to complete the two intake packets in the office.


Billing Intake Paperwork

Adult Intake Paperwork

Pediatric Intake Paperwork


Summit Mental Health Services accepts Mastercard, Visa, and Discover.

Summit Mental Health Services also accepts Blue Cross/Blue Shield, Cigna, Tricare, HealthChoice, and Valueoptions plans. We also support students working to meet their academic goals through participation in the Personal Learning Scholarship Account (PLSA) program. Every plan is different and you can learn what your coverage is by calling Carey at (352) 638-6639 to schedule your first appointment at which time she will contact your insurance company to verify benefits.

Call Today to take that first step 352-638-6639


What we think, we become. Buddha