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Request An Appointment

Interactive Appointment Request Form

New Patients

To request a New Patient appointment online, use our interactive appointment request form above. We will respond to your request promptly. Before requesting an appointment:

  1. Review the doctor's fees, policies, and conditions treated  on this website, specifically fees, details of insurance coverage, and what it means that the doctor is an out-of network provider.
  2. Use the appointment request form below and include your email address, name, and as much information as possible as to why you are seeking care with Dr. Zipperman, including a brief overview of past psychiatric treatment. Please also indicate first choice of appointment times.
  3. Dr. Zipperman or her staff will contact you to confirm appointment time and provide you further instructions.
  4. Before your first appointment, you will need to complete the following forms which can be completed online, alternatively you may print and fill out. Directions can also be printed below.:

What to Bring to Your First Appointment

  • Completed forms (if not submitted online)
  • Payment (cash, check, Health Savings Account Card, or major credit card)
  • Any medical records that might be helpful in your evaluation

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