Book An Appointment for Free

To get started with care, please complete the short questionnaire below. Your answers help us confirm that Douglas is the right fit for you.🌸

If everything looks good, you’ll be able to create your patient portal, complete your intake forms, and schedule your first appointment right away. 🗓️

By booking an appointment with Balance Psychiatric Services, you acknowledge that:

Services are outpatient and non-emergent
Medications are prescribed only when clinically appropriate following evaluation and medical necessity
Medications are not guaranteed
Balance Psychiatric Services is not a crisis or emergency provider
If you are in immediate danger, call 911 or 988.

Doug has immediate availability Monday through Friday from 9am to 7pm Eastern.

If we need any additional details, our team will reach out to you promptly.📲

👉Don’t forget to click Submit on Step 5 so we can begin your registration.

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- Step 1 of 5

Name *

First

Last

Email *

Preferred phone number *

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Is the person seeking treatment under the age of 18? *

What is your primary state of residence? *

Alaska
Florida
Oregon
Utah
Washington
Massachusetts
New Mexico

*You must have a primary residence in and be physically located in one of the states Douglas is licensed in at the time of all of your appointments.

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What insurance plan do you intend to use (or self-pay)? *

Is your insurance a Medicare or Medicaid plan? *

Thank you for your interest. Douglas Ludington is our provider in network with Medicaid and Medicare but only in Utah. If you have Medicaid but are not located in Utah, you may want to try calling the customer service number on the back of your insurance to find in network providers. Federal guidelines do not permit us to accept Medicare patients as self pay.

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What is your primary reason for seeking care for your physical health?

Please be aware Douglas does not treat the following concerns:

Abscess

Abdominal pain

Acute alcohol withdrawal

Breast complaints

Chest pain

Dizziness/lightheadedness

DVT

Eye pain, foreign body, change in vision

Head trauma

Hypoxia

Laceration

Loss of consciousness

Neurological complaints

New onset CHF

New onset Headache/migraine

Nose bleed

Numbness tingling

Paronychia

Physicals – annual/routine

Rectal complaints

Severely abnormal vital signs

Subungual hematoma

Urinary retention

Weakness

Stroke prevention

Are you seeking a prescription for a controlled medication? *

Yes
Unsure
None

Please provide your date of birth below. *

Please specify the medication name and dosing. *

We are not currently able to prescribe controlled medications in this state.

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Thank you for your interest in receiving treatment from Douglas. Be sure to hit SUBMIT below! We will be contacting you shortly for additional information. Please provide us with the best days/times and preferred contact method to reach you. If you'd like you can upload your insurance card below so we can check if we are in network prior to contacting you.

Thank you for your interest in receiving treatment with Douglas! Here are the next steps to setting up your first appointment:

Click on the link below to set up your patient portal.
Once you have set up the patient portal, please complete all of the new patient forms. You must complete all of the forms prior to scheduling your first appointment.
Once your intake forms are complete, you can request a date/time for your first appointment in the patient portal. Be sure to select Douglas Ludington as your provider. Please be aware, your appointment is a request until confirmed by our office. If you cannot find a time that works for you, please reach out to us by calling or texting 412-467-6410 or by e-mail to admin@balancepsych.org.
Please your insurance card below. Alternatively you may send a copy (front and back) of your insurance card to admin@balancepsych.org or text to 412-467-6410. We will send you an estimated cost of services to your provided e-mail address prior to your first appointment.
We require a credit card to be placed on file. To do this in the patient portal: On the left-hand side of the portal, there is a toolbar. There, you will see a button that looks like a credit card or says "billing/financials" -- that is where you will insert your card information. The system requires that, in order for your card to save on file, you are charged a one-time one-dollar fee; please charge yourself this $1.00 so that the card will be saved on file for you. This will be a credit to your account, applied towards any future appointment costs.
To avoid missing communication from our office, please save our office phone number in your phone: 412-467-6410 and whitelist our emails: admin@balancepsych.org & billing@balancepsych.org
Welcome to our practice! Please reach out to us at any time with questions or concerns. Hit submit below after using the patient portal link.
Click here for patient portal

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Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

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Book An Appointment for Free

We are not currently able to prescribe controlled medications in this state.

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