Self-Referral Form

<<Please note that Full Spectrum Psychiatry is currently CLOSED to new patient referrals. Please check the website at fspsychiatry.com for updates regarding our availability. >>

This form is meant to be completed by prospective patients and/or their family/caretaker(s). We will only accept self-referrals for individuals with a formal or suspected diagnosis of ASD (Autism, Aspergers, PDD NOS). Referrals will be reviewed within 3-4 business days. Please note that are not able to accept patients who need an urgent evaluation, are looking for disability evaluation, or those with significant substance abuse problems. If you are seeking treatment for an urgent matter such as severe depression with suicidal ideation, please contact ReSolve Crisis at 1-888-796-8226, EMS at 911, or visit your local emergency department.

Full Spectrum Psychiatry accepts Aetna, UPMC, CCBH (Allegheny County Medicaid) insurance. Treatment fees for out-of-network patients are posted at fspsychiatry.com and range from $310 to $460 for initial evaluation (depending on the complexity of the case) and from $155 to $260 for follow-up appointments (depending on duration of the appointment). Full Spectrum Psychiatry will (upon request) provide itemized paperwork for patients to submit for out-of-network coverage.

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