Patient Information (Name required)

    Is Patient a minor?

    Contact Information (Email required)

    Insurance Information

    Message

    By checking this box, I agree to receive SMS messages about appointment information and updates from Lavado Psychological Services at (305) 587-7737. The SMS frequency may vary. Data rates may apply. Text HELP to (305) 587-7737 for assistance. Reply STOP to opt out of receiving SMS messages

    What does 1+1 equal? (This is to prove you're not a bot...)

    For more information on how your information will be used, please see our Privacy Policy.