Request for Evaluation Services:

Please fill out the form below in order to initiate services for psychological and forensic evaluations. You will receive a call from one of our doctors or clinicians within 2-3 business days. If requesting services for a minor, please use their name and birth date and note in the additional comments section the contact (parent/guardian) name.

Address

100 S. Marshall St., Ste 1

Winston-Salem, NC 27101

Phone

336-276-1278

Email

Gender
Type of Assessment Requested
Thanks for submitting!
BW 30.JPG