Patient Forms

Save time before your visit by printing and completing the forms below.

Remember that you will be asked to provide a photo ID and insurance card at every office visit.

If you are seeing a Metro NBI psychiatric provider, click here:

  • Dr. Lauro Amezcua-PatiƱo
  • Lauren Kiraly, PA
  • Chitra Mathew, DNP
  • Barbara Schulte, DNP 

If you are seeing a Metro NBI counseling provider, click here:

  • Carolyn Boles, LPC 
  • Dedra Serafin, RN, LPC

If you are seeing Ruth Flucker, NP,

click here: