Request Appointment


Current patients, please call 610-626-8085 ext. 1001 for scheduling inquiries

    Personal Information

    *Please add to your address book to avoid responses being directed to your SPAM folder.

    We can't guarantee that we can accommodate your preferred time


    **We do not prescribe long term use of the following classes of medications, if you are currently on any of these medications, you will need to continue to have it prescribed by the current prescriber or seek medication management elsewhere.
    Benzodiazepines: Xanax (alprazolam), Ativan (lorazepam), Valium (diazepam), klonopin (clonazepam) *

    Please Note Regarding Disability Evaluations: Psych Choices does not complete disability evaluations. Our providers generally require you to be under their care for 6 months or more before they will indicate any type of mental health diagnosis for the purpose of disability documentation.

    Please Note Regarding Court Ordered Treatment: Psych Choices does not complete court ordered nor substance abuse evaluations. We do not testify in court and recommend you referring to legal counsel for such matters.

    Insurance Information

    Please note we cannot accept Keystone Mercy, Keystone First, Aetna Better Health, Access, United Healthcare Community Plan, or any other Medicaid plan. If you have this type of insurance, either as primary or secondary coverage you may want to contact Crozer Chester Medical Center Behavioral Health

    We do accept most major commercial insurances, including Medicare. Please note, if you are QMB (Qualified Medicare Beneficiary) we are unable to accept your plan as we are not enrolled in Medicaid.

    If you add a secondary plan name, then add the ID # too

    Please enter the phone number on your insurance card for Mental or Behavioral Health, if there is one. If none, then enter the phone for providers to call

    Finish It Up

    Thank you for completing this form to the best of your ability. If the information is sufficient, we will be contacting you via email to let you know when your appointment is scheduled.

    If we need further information or to discuss anything with you, we will try to reach you by phone.

    In any case, you will be hearing from us within 1 to 3 business days. Feel free to contact us at if you have any questions or concerns.

    Please note that emails sent through this page are no more secure than emails sent through any other email program. But this page is HTTPS encrypted. You may want to limit what you say in your email. Please do not use email to convey personal information. Please be aware that this email will be read by our office staff.