New Patient Packet.

Psychiatric Care and

​Research Center

Please complete New Patient Forms before your appointment with our providers.  The forms will come up when you hit the red button below. You will need to provide a copy front & back of your insurance card, print forms, complete them, then there are several ways to send them back;

  • by fax (636) 244-3594
  • scan and email them to
  • take a picture with your phone and attach to email
  • Mail them to the office- 4132 Keaton Crossing BLVD., Ste 201, O'Fallon, MO. 63368


If you are not able to print out forms please contact us at (636) 244-3589 and we will mail them out for you to complete.