Dr. Pogash has availability to see new patients promptly

In order to provide support, we may need some of the following forms completed before your initial appointment. All information collected through Google Forms is HIPAA compliant. If you have questions about the forms, please email us at info@catalystnc.com or call us at (919) 551 - 5501.

Forms for Catalyst Therapeutic Services

directions to catalyst

new patient form (adult & adolescent)

new patient form (children)

catalyst agreement to treatment

patient confidentiality statement

limited release of information form

insurance information