Wibeto Practice PLLC

Security Check

Instructions: 1) Please use a laptop/desktop to register (do NOT use a phone) 2) Our psychiatrists are in-network with BCBS, Aetna, Optum - only PPO 3) Our therapists are only in-network with BCBS PPO.

First Name:*

Last Name:*

DOB:*

Sex:*

E-mail:*

Mobile #:*

Home Phone #:

Address:*

Zip Code:*

Patient Availability:

Days:

Sun Mon Tue Wed Thu Fri Sat

Referral Source:*

Reason for Visit:

Facility:

Get email instructions in:

English Spanish

Once clicking "Proceed to Registration", you can complete your registration now or return to complete it later by clicking the link in the initial email you received.

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Once clicking "Proceed to Registration", you can complete your registration now or return to complete it later by clicking the link in the initial email you received.

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