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Submitting this form does not guarantee acceptance as a patient and does not establish a patient–physician relationship. Your submission will be reviewed, and our team will contact you with next steps if an appointment can be offered.
If you are unable to upload documents through our secure Spruce portal, you may instead mail your completed forms directly to our office:
Northeast Texas Psychiatry, PLLC
10760 FM 2813, Suite 500
Flint, TX 75762
Please ensure your forms are printed, signed, and include your full name and date of birth on the first page. Do not email completed forms, as email is not a secure or HIPAA-compliant method of transmission.
Please do not include any personal health information (PHI) here. This form is for general inquiries only.
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We cannot guarantee receipt or response times for general messages submitted here. For protected health information or documents, please use the Secure Upload (HIPAA) section. If this is an emergency, call 911. For the Suicide & Crisis Lifeline, call 988.
We are inside the business park at 10760 FM 2813, Suite 500, Flint, TX.