Please fill out the New Patient Intake forms and any Release of Information you might need before your appointment (PCP, Therapist, School). New Patient Intake forms are due before we schedule your appointment.
Please bring a copy of your drivers license, insurance card and prescription card to your appointment.
You may email the completed forms or copies of cards before your appointment to admin@cheneypsych.com.
Please fill out for the specific provider you are seeing. If doing form online typed signature is not accepted. You may also download and print the PDF version. PDF verison can either be email to the office at admin@cheneypsych.com or dropped off at the office.
Psychiatric Evaluations
Psychotherapy
Medication Management
Cheney Psychiatric Associates is a psychiatric practice owned by Dr. Ahsan Naseem and Serena Macauley, APRN-BC. The practice was established in 2010. Our office is conveniently located in the Williamsburg Village in south Lincoln.
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