The Aleph Center, PLLC
Wholistic Mental Health Care

6408 E Tanque Verde Road,

Tucson, Arizona 85718-3809
Phone: (520)-885-5558
Fax: (520)-885-5559

New Patient Information


To save time and to get the most from your first appointment, download and fill out an INTAKE PACKET below. The information within will help your provider get to know you better. 

 

Intake -  Detailed health, lifestyle, and social history.

 

Financial Agreement - This explains our fees and financial policies. 

    

Patient Privacy Policy - Please read, sign and date. 

 

Patient Face Sheet - This is basic information about you.


PHQ-9, GAD-7, and Mood Disorder Questionnaire - These will help your provider understand better the problems you are having.



If you are seeing Dr. Goeta-Kreisler, Dr. Wiegand, Dr. Fredman, or one of our therapists or nurse practitioners, please download this packet only: 

If you are seeing Dr Kane, please download this packet only: