D&JS
PSYCHIATRY & SERVICES LLC
 34 Salem St, STE 201, 2nd Floor
Reading, MA 01867
New Patients

Registration and intake, made clear.

Completing registration and intake before your first visit helps our team understand your needs, verify essential information and prepare for a focused initial evaluation.

How It Works

Your path to becoming a patient.

Please provide complete and accurate information. Missing forms, insurance information or required clinical records may delay scheduling or confirmation of an appointment.

1

Submit Registration

Tell us who the patient is, how to contact you, the reason for seeking care, your preferred service and whether you are requesting telehealth or an in-office visit.

2

Provide Insurance & Payment Information

Submit current insurance details when using insurance. Our team may review eligibility and benefits; coverage is ultimately determined by your health plan. Self-pay arrangements can also be discussed when applicable.

3

Complete Clinical Intake Forms

Complete the requested psychiatric history, medical history, current medication list, allergies, prior treatment history, family and social history, screening questionnaires, consent forms and practice policies.

4

Send Supporting Records When Requested

Depending on the reason for referral, we may request prior psychiatric records, hospital or discharge summaries, medication history, psychological or neuropsychological testing, school information, laboratory results or relevant medical records.

5

Clinical & Administrative Review

Our team reviews the information to determine the appropriate clinician, service, visit type and whether the practice can meet the requested level of care.

6

Appointment Confirmation

Once the necessary registration and intake items are complete, the office will provide available scheduling options and instructions for your telehealth or in-office appointment.

Intake Checklist

What to have ready.

Patient demographics
Legal name, date of birth, address, phone, email and preferred contact information.
Parent or guardian details
For minors, include legal guardian and custody information when applicable.
Insurance information
Current insurance card details and subscriber information.
Medication list
Current medications, doses, prescribers, allergies and previous psychiatric medication trials.
Treatment history
Previous diagnoses, therapy, psychiatric care, hospitalizations and relevant testing.
Reason for seeking care
Main symptoms, concerns, goals and any recent changes affecting functioning.

Choose the visit option that fits your care.

Telehealth
Secure virtual care when clinically appropriate and permitted for your location.
In-office
Face-to-face visits at 34 Salem Street, Suite 201, Reading, Massachusetts.
Across the lifespan
Registration is available for children, adolescents, adults and older adults, subject to clinician availability and fit.
Before Your Visit

Have these items ready.

Preparing your insurance and payment information before your visit helps us complete registration and reduce scheduling delays.

Insurance card

Have your current insurance card, member ID and subscriber information available.

Email a clear image of the front and back of the insurance card to:
register@djspsychiatry.com

Self-pay

If you are paying out of pocket, ask the office about current self-pay rates and payment options for services not covered by insurance.

Call (978) 284-9694 to request current rates.

Coverage verification

Insurance benefits and participation can vary by plan. Our office may verify eligibility, but final coverage and patient responsibility are determined by your insurance plan.

Comprehensive New Patient Intake

Complete your registration and clinical intake.

Please complete all required fields. This page is designed to collect the information typically needed before a psychiatric evaluation, therapy intake, TMS consultation, or medication-management visit.

Secure registration: D&JS Psychiatry uses Tebra for the official patient registration and scheduling workflow. The detailed form below can be used to review the information you may need, but protected health information should be submitted through Tebra or another approved secure practice workflow—not ordinary email.

Complete your official registration in Tebra

Use the secure D&JS Psychiatry Tebra page for appointment booking and official patient registration.

Go to D&JS Psychiatry on Tebra
1. Patient Information
2. Parent / Guardian Information (if patient is a minor or has a legal guardian)
3. Emergency Contact
4. Insurance & Billing
5. Requested Service & Scheduling
6. Current Mental Health Symptoms

Check all that currently apply.

7. Psychiatric & Therapy History
8. Medication & Allergy Information
9. Medical History
10. Substance Use History
11. Family Mental Health & Medical History
12. Social, Developmental, School & Occupational History
13. Safety Assessment

If there is an immediate emergency, call 911 or go to the nearest emergency department. This website form is not monitored for emergencies.

14. Records & Care Coordination
15. Communication, Telehealth & Practice Acknowledgments
16. Electronic Signature
Call the Office

The official online registration button opens the D&JS Psychiatry Tebra practice page. Information entered into this website worksheet is not transmitted to Tebra automatically; patients should complete the official Tebra registration workflow for secure submission.

Online Scheduling

Choose a clinician and schedule.

After beginning registration, you may use the clinician-specific booking links below. If you are unsure which clinician or service is the best fit, select “No preference” on the registration form and contact the office for assistance.

Susan Njuguna

PMHNP-BC

Psychiatric evaluation and medication management.

Schedule with Susan

Kimarie Collins

PMHNP-BC

Psychiatric evaluation and medication management.

Schedule with Kimarie

Chidima Oranekwu

PMHNP-BC

Psychiatric evaluation and medication management.

Schedule with Chidima

Amber Miles

LICSW

Psychotherapy and clinical social work services.

Schedule with Amber

Silvia Pisano

Therapist

Therapy and behavioral health support.

Schedule with Silvia

Michelle McWilliams

LCSW

Psychotherapy and clinical social work services.

Call to Schedule
Send an Inquiry

How can we help?

Send a general inquiry if you are not ready to register or if you need help identifying the right service.

Email Registration