What To Expect At Your First Appointment

At your first appointment, you will meet with a provider for a thorough evaluation to understand your concerns and symptoms.   West Texas Psychiatry utilizes various tests to clarify assessment and reach appropriate diagnosis.

To make the most efficient use of the time, and to be sure we truly understand your child’s background, we ask that you fill out our intake and child development questionnaire (in case of a child/teen).  This form goes through a lot of information some of which you might not feel comfortable discussing in front of your child or family member, hence the importance of fully completing it prior to meeting with

Dr. Pepermintwala or other providers.   In addition to the intake form,  we will also provide you with a statement of your HIPAA privacy rights and ask you to sign a copy of our financial agreement.

Instructions:  
Please download, print and fill out the forms prior to your first appointment with us.  To view the forms linked on this page, you will need Adobe Reader. You may download Adobe Reader for free here. Please bring your completed forms with you to our office at the time of your visit.
New Patient Forms - ADULT
Health Insurance Plans

West Texas Psychiatry accepts following major health insurance plans:

  • Blue Cross Blue Shield PPO

  • CIGNA PPO

Coming Soon!!  More Insurance Plans

Fee for Service Clients (Self-Pay)

If your health plan is not accepted or out-of-network, you can still receive

services cash and credit cards accepted. We will give you a super bill to submit to

your insurance company for reimbursement.

Adult Psychiatry Diagnostic Evaluation & Management / Treatment

Initial Evaluation: $500 Office Visit

Follow-up Appointments: $300

Bi-weekly to monthly urine drug screens required, depending on which controlled substance medication is prescribed.