1005 West 9th Avenue
Suite B
King of Prussia PA 19406

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1432 Easton Road
Suite 5A
Warrington PA 18976
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Behavioral Health Choices
A comprehensive mental health practice
(484) 685-0965
We accept most private insurance carriers, Medicare and self pay.
*We are not a Medicaid or CHIP provider*

*Individuals 18 and over have to make their own appointments*

  1. Managing Director
  2. Managing Director
  3. Managing Director
  4. Managing Director
  5. Managing Director

Intake Form
  
Please fill out:

Name of patient:
Patient's date of birth:
Want to see a therapist? (yes or no)
Want to see a psychiatrist? (yes or no)
Which office location? (King of Prussia or Warrington)
Reason for visit:
Name of insurance:
Name of insurance card holder:
Relationship of patient to insurance card holder:
Best time to call:
Best phone number to call:
Short Text
Any other remarks:
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