Forms & Information

Please download the following forms as instructed by our staff. Have questions? Call us at 314-590-3721 Monday-Friday from 9am-5pm. We're here to help!

Mood Disorder Questionnaire

Download this questionnaire as instructed by your provider.

Download

Insurance

We accept most major insurance plans. To see if we accept yours, please call us 314-590-3721

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HIPAA Release

Click button below to view our HIPAA Release of Information form.

Download

Fees for Service

Click to view our fee schedule.

Download

CAGE-AID
Questionnaire

Download this questionnaire as instructed by your provider.

Download

Notice of Privacy Practices

Click button below to view our Notice of Privacy Practices

Download

Good Faith Estimate

Click below to view your right to ask for a Good Faith Estimate from Serenity Health

Download

Third Party Record Requests:

For patient record requests from third-parties, the following fees will apply:

Processing & Handling Fee: $29.47

Page Fee: $0.68 for each page

Patient Portal Login

Are you a current Serenity Health Patient? Log in here to access your Patient Portal to request refills, send a message to our clinical staff, and access test results, records, and more.

Serenity Health LLC