Billing
Click here and then choose QuickPay at the bottom right to make a one-time payment
You’ll need either your account or statement number from your bill which you should hav received through the Elation Portal (see below)
To update the credit card you'd like us to use for any balances, please fill out this Credit Card on File form. Please use Chrome/Firefox or your phone/tablet only. These forms will not open correctly on other browsers.
Patient Portal
We ask that all patients set up an account through the Passport Patient Portal for our medical record system, Elation. All billing statements will be sent to your account and you can send us non-urgent messages through the portal messaging service. You can also see a list of your current medications, upcoming appointments, and most recent treatment recommendations.
Telepsychiatry
We are happy to offer telepsychiatric services. This is a form of live-interactive videoconferencing that allows you to have your mental health visit online. At this time, insurers have expanded their coverage to include telehealth visits but we encourage you to contact your insurance company to verify as the situation is changing quickly.
Releases of Information to fill out in Zentake
Authorization to release information TO Via from another agency/person.
Authorization to release information FROM Via to another agency/person
Please use Chrome/Firefox or your phone/tablet only. These forms will not open correctly on other browsers.
Other Forms
Click here and then choose QuickPay at the bottom right to make a one-time payment
You’ll need either your account or statement number from your bill which you should hav received through the Elation Portal (see below)
To update the credit card you'd like us to use for any balances, please fill out this Credit Card on File form. Please use Chrome/Firefox or your phone/tablet only. These forms will not open correctly on other browsers.
Patient Portal
We ask that all patients set up an account through the Passport Patient Portal for our medical record system, Elation. All billing statements will be sent to your account and you can send us non-urgent messages through the portal messaging service. You can also see a list of your current medications, upcoming appointments, and most recent treatment recommendations.
Telepsychiatry
We are happy to offer telepsychiatric services. This is a form of live-interactive videoconferencing that allows you to have your mental health visit online. At this time, insurers have expanded their coverage to include telehealth visits but we encourage you to contact your insurance company to verify as the situation is changing quickly.
Releases of Information to fill out in Zentake
Authorization to release information TO Via from another agency/person.
Authorization to release information FROM Via to another agency/person
Please use Chrome/Firefox or your phone/tablet only. These forms will not open correctly on other browsers.
Other Forms
| Ritual Self-monitoring Form |
| Release of Information to fill out in Word |