New Patient Packet

Click and download the form below. Once completed, send to us by email to seasidebhvb@gmail.com or fax to 757.648.1363, mail, or in person at our office
1072 Laskin Road, Suite 104 Virginia Beach Virginia 23451.

Download New Patient Packet

Credit Card Processing

Click and download the form below. Once completed, send to us by email to seasidebhvb@gmail.com or fax to 757.648.1363, mail, or in person at our office
1072 Laskin Road, Suite 104 Virginia Beach Virginia 23451.

Download Credit Card Authorization

Consent For Release of Info/Records

Click and download the form below. Once completed, send to us by email to seasidebhvb@gmail.com or fax to 757.648.1363, mail, or in person at our office
1072 Laskin Road, Suite 104 Virginia Beach Virginia 23451.

Download Medical Release Form

Consent to Request Info/Record

Click and download the form below. Once completed, send to us by email to seasidebhvb@gmail.com or fax to 757.648.1363, mail, or in person at our office
1072 Laskin Road, Suite 104 Virginia Beach Virginia 23451.

Download Consent to Request Records Form

Benzodiazepine and Stimulant Agreement Forms

Click and download the form below. Once completed, send to us by email to seasidebhvb@gmail.comor fax to 757.648.1363, mail, or in person at our office
1072 Laskin Road, Suite 104 Virginia Beach Virginia 23451.

Download Benzodiazepine Agreement Form
Download Stimulant Agreement Form

Helpful Information

Online resources

teens.drugabuse.gov – National Institute on Drug Abuse (NIDA) sponsored resources for teens/parents/teachers – science-based info on drug use & it’s effects

drugabuse.gov – NIDA website – useful resource for accurate info about effects of THC and other substances

SAMHSA.gov – Substance abuse and mental health services administration- the national public health agency that aims to advance behavioral health

nimh.nih.gov – National Institute of Mental Health – provides information about mental disorders, latest research and treatment

CMS.gov – Centers for Medicare & Medicaid Services – resource for government funded health insurance programs

Online self help resources

ADAA.org – Anxiety and Depression Association of America
Mission is to improve quality of life for persons suffering from anxiety and/or depression

NAMI.org – National Alliance on Mental Illness
Mission is to better the lives for persons suffering mental illness through education and advocacy. Local chapters offer social opportunities, support groups and educational groups for persons with mental illness and families/significant others.

Recommended Podcasts

  • Tips for managing anxiety
    • Anxiety Slayer
    • Calmer You
    • The OCD Stories
  • Inspiration Guidance
    • Happier with Gretchen Rubin
  • Inspiration/Education – discussions w/ leading experts in health, spiritual, psychological wellness
    • Oprah’s Super Soul Conversations
    • 10% Happier with Dan Harris
  • Couples/Relationships/Communication
    • Where Should We Begin
    • Couples Toolbox

Recommended Apps for Meditation/Mindfulness

  • Headspace – excellent tool for learning how to meditate; variety of meditations for health/wellness/ particular issues, also “SOS” for panic moments
  • Insight Timer – still so much accessible for FREE – great sleep stories/music, access to yoga, meditations, talks
  • BREETHE, Calm and many others out there – test them out, see what you like – start a routine of practicing the same activity (meditation/breathing/visualization/yoga/affirmations) at the same time daily – this can be for as little as 5 minutes – then when you are feeling overwhelmed you will be able to use this to center yourself!!!