{"id":388,"date":"2025-02-07T09:31:09","date_gmt":"2025-02-07T14:31:09","guid":{"rendered":"https:\/\/ctrfamilyguidance.cfghealthnetwork.com\/patient-info\/new-patient-request-form\/"},"modified":"2025-02-28T15:13:08","modified_gmt":"2025-02-28T20:13:08","slug":"new-patient-request-form","status":"publish","type":"page","link":"https:\/\/ctrfamilyguidance.cfghealthnetwork.com\/?page_id=388","title":{"rendered":"New Patient Request Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"388\" class=\"elementor elementor-388\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6b7d36eb e-flex e-con-boxed e-con e-parent\" data-id=\"6b7d36eb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e946a62 elementor-widget elementor-widget-heading\" data-id=\"e946a62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">New Patient Request Form<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e3102f elementor-widget elementor-widget-heading\" data-id=\"7e3102f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Welcome and Thank You For Your Interest in Center for Family Guidance, PC.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-96846d7 elementor-widget elementor-widget-text-editor\" data-id=\"96846d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Our intake department takes pride in their ability to personally match you up with the most appropriate clinician to meet your needs. <b>Please use the preferred secure intake form below to avoid long hold times.<\/b>\u00a0A representative will contact you during regular business hours, <strong>Monday-Friday.<\/strong> You can also reach us by phone at <a href=\"tel:856-797-4700.\">856-797-4700.<\/a><\/p><p><b>NOTE<\/b>: If the patient is 18 or older, the patient will need to be the one to make their own appointment, unless verbal consent is given by the patient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-34584a6 e-con-full e-flex e-con e-child\" data-id=\"34584a6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-415ba58 elementor-widget elementor-widget-heading\" data-id=\"415ba58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Insurances Accepted<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ea7e84a bullets-purple elementor-widget elementor-widget-text-editor\" data-id=\"ea7e84a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Aetna<\/li><li>AmeriHealth<\/li><li>AmeriHealth Administrators<\/li><li>Blue Cross Blue Shield Cigna<\/li><li>Horizon Blue Cross Blue Shield<\/li><li>Independence Blue Cross Blue Shield<\/li><li>Keystone<\/li><li>Magellan<\/li><li>Medicare<\/li><li>Tricare<\/li><li>Quest<\/li><li>Qualcare and Tri-State\u00a0<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6c31248 e-con-full dark-bk e-flex e-con e-child\" data-id=\"6c31248\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62f2984 elementor-widget elementor-widget-heading\" data-id=\"62f2984\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">If you are new to CFG, please review our <a href=\"\/patient-info\/\">Patient Information page<\/a>.<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b2554ff elementor-widget elementor-widget-shortcode\" data-id=\"b2554ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div 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Our intake department takes pride in their ability to personally match you up with the most appropriate clinician to meet your needs. Please use the preferred secure intake form below to avoid long hold times.\u00a0A representative will contact [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":383,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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