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Patient Forms and Portal

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New Patient Appointments

To schedule a new patient appointment, please  click the link below and complete the new patient paperwork. Upon submission of the completed forms someone from our office will contact you to schedule an appointment. Often times this will be the same day but can take up to 48 hours. Incomplete Forms will be returned to patient
**We are not accepting clients under 18 years old**

Patient Portal

Click below for access to your patient portal account.  For telehealth appointments, do not use this link. please go to this websites home screen and scroll down to the bottom for individual provider links.

Ketamine Forms

Please complete forms for ketamine evaluation
***All new ketamine therapy is currently on hold***

New Insurance
Current Clients Only

Please use for submission of new insurance for 2024
Current clients only!

Phone (828) 412-3330  Cell (828) 778-2973

Fax (765) 392-4263    Info@dayamentalhealth.com

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77 Central Ave #A

Asheville, NC 28801

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