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CLIENT INTAKE FORM

PUBLIC DEFENDER SERVICES VOUCHERS

REFERRALS

For referrals, or if you would like to schedule an evaluation, please follow the link below to our Intake Referral Form. After your submission, our staff will be in contact at their earliest convenience.

Note: Dr. Miller does not treat outpatients. There is no doctor-patient relationship between Dr. Miller and the evaluee. Dr. Miller does not accept any form of insurance or Medicaid/Medicare.

FORENSIC PSYCHIATRY, PLLC

P.O. Box 345, Huntington, WV 25708

©2018 BY FORENSIC PSYCHIATRY, PLLC.