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Patient Documents

Welcome to Dr. Angelini Mental Wellness. Please complete your intake paperwork before your first appointment.

1. Who this page is for

This paperwork is for patients who have already been accepted into the practice.
Not a patient yet? Please submit an inquiry first.

Contact Us

2. Before you start

Please have the following ready:

  • Your ID card (front and back)

  • Your insurance card (front and back)

  • A list of your current medications and doses

The form takes about 15 minutes to complete.

Complete Intake Form

The form opens in a new tab. You can fill it out on your phone or computer.

3. How it works

  • Fill out the form: Complete your intake paperwork online.

  • We review it: Our office reviews your information before your visit.

  • Your first appointment: Join your telehealth session ready to start.

4. Privacy note

Your information is kept confidential and used only for your care.

5. Need help?

Questions about your paperwork?

Contact our office at (754) 212-4625 or info@drangelini.com. We’re happy to help.

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If you are in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) or call 911. This form is not monitored for emergencies.
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