Schedule a New Client Appointment

Thank you for contacting Kreins Psychological Services. We are currently accepting new patients. To help us match you with the right psychologist for your intake session, please answer the following questions:

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Client's full name *

First

Last

Age *

Email address *

Cell phone number *

Include area code.

Will you be using insurance? *— Select Choice —AetnaBlue Cross Blue ShieldCignaCurativeMedicareScott & WhiteUnited Health CareNo — self-pay / not using insurance

If yes, choose the plan we accept.

Are you open to in-person sessions, virtual sessions, or both? *

• In-person
• Virtual
• Both

What days generally work best for you? *

• Monday
• Tuesday
• Wednesday
• Thursday

Select all that apply.

What times generally work best? *

Example: weekday mornings, after 5pm, weekends only.

What is the primary reason you’re seeking services at this time? *

Do you reside in a state other than Texas? *

• No — I live in Texas
• Yes — I live in another state

If you live outside Texas, which state?I live in TexasAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Leave as “I live in Texas” if that applies.

How were you referred to us? *Google / web searchSocial mediaFriend or familyAnother providerInsurance directoryOther

If “Other,” please specify how you were referred

Only needed if you selected Other above.

Website

Submit Intake Request

Once we receive this information, we’ll contact you to confirm an appointment time that works best for you.