Patient Forms

Below are Mercyland Psychiatry's new patient forms.

If you are considering services at our clinic, please click on and complete the New Patient Forms below.

If you are considering Spravato treatment, first complete the New Patient Forms, then click on and complete the Spravato Enrollment Forms as well.

An intake coordinator will reach out within 48 business hours after receiving your form.

*Note our business hours are Monday - Friday, 8:00am - 5:00pm

New
Patient Forms

Spravato
Enrollment Forms

Should you require any assistance or have additional questions, please give us a call at 608-318-2233

Thank you for selecting Mercyland Psychiatry—we look forward to assisting you on your journey toward improved mental health.

CONNECT WITH US

Address: 425 W Main St, Suite 201, Sun Prairie, WI 53590

Open Hours: Monday - Friday, 8:00am - 5:00pm

Phone: 608-318-2233

Fax: 608-318-2234