Please read carefully before completing the new patient request.

Please note:

- This registration process may take 15+ minutes to complete.
- Your registration is not received by Hope419 until the full form is completed and submitted.
- At this time, Hope419 does not see patients under age 9 for medication management. Patients under age 9 are eligible for therapy services only.
- Hope419 is unable to accept Ameritas plans as coverage for appointments. Patients with those plans may choose self pay.
- This practice does not provide 24/7 emergency care. For emergencies, call 911, go to the ER, or dial 988.