A waiting room with rows of chairs and tables at the Sheila C. Johnson Center
  1. Research & Initiatives
  2. Sheila C. Johnson Center for Clinical Services
  3. Forms and Resources

Forms and Resources

Forms for your appointment and Teleservice options

You'll be asked to complete some paperwork prior to your first appointment at the Sheila C. Johnson Center. Please download your required forms and share them with our staff when you visit.

Contact our office at (434) 924-7034 should you need assistance filling out the required paperwork.

In-Person Services Initial Paperwork
Additional Paperwork
Teleservices
En Español

All documents are fillable Adobe PDF forms that open in a new window and can be saved to your computer and completed for printing or for future reference.

Adobe Acrobat Reader DC is free to download. Click here to install the software on your device.

Insurance Information

We accept multiple types of insurance including Aetna, Aetna Better Health, Anthem, Anthem Health Keepers, Medicare, limited Medicaid plans, Optima Health, and Tricare. If our providers are not covered under certain insurance plans, the clinic will provide guidance to our clients on how to submit claims independently to their insurance company. Contact our office at (434) 924-7034 for questions related to insurance.

Patient Resources

A zoomed-in photo of hands holding a smartphone

Teleservices

Our clinic offers a range of teleservice options for our patients. Read more about teleservice offerings.

Teleservices

Contact the Sheila C. Johnson Center

Sheila C. Johnson Center for Clinical Services

The Sheila C. Johnson Center for Clinical Services is a multidisciplinary clinic that provides personalized assessment and intervention services. Our mission is to deliver the highest quality science-based clinical services to the people of Charlottesville, the UVA community, Albemarle County, the Commonwealth of Virginia and beyond.

  • (434) 924-7034
  • Monday-Thursday: 8:30 am-5:30 pm; Friday: 8:30 am-5 pm