Patient Information and Forms


You can make appointments by calling our office. To make the most of your first appointment please arrive 15 minutes prior to your scheduled time with the appropriate forms completed.  Thank you for understanding that our experts are in high demand and we do our best to fill cancelled appointments to reduce our wait lists.

Cancellation Policy

Cancellations or appointment changes must be made two full business days in advance of your scheduled appointment. In the event of a late cancellation or a no-show we will charge the appointment fee.

Insurance and Billing

The Serin Center experts are not directly contracted with insurance companies.  We can provide monthly paid statements (“superbills”) for submittal for out-of-network reimbursement. We cannot guarantee reimbursement or advise you of what your insurance company will cover. For questions about insurance, please contact your insurance company directly.

Payment for Services

Full payment is due at time of service. We accept cash, checks, American Express, Discover, Master Card, Visa, HSA (Health Spending Account), and FSA (Flex Spending Account). Please consult with your HSA or FSA company for questions about using those funds for our services.

New Patient Forms

Please complete forms prior to your intake appointment and bring them with you.  If you forget, we can provide forms in our office but your appointment time may be shorter as a result.

Child (Ages 3-17)

Child Intake Forms

Adult (Ages 18 and up)

Adult Intake Forms

Appointments with Dr. Mark Ruggiero

Intake Forms

Release Authorization Forms

General Release Authorization Form

Call Us at (623) 824-5051

We care about your health and happiness.  Contact us to find out how we may be able to help you.

Contact Us


More InformationBuy Now


More InformationBuy Now


More InfoBuy Now

The Serin Center

10184 West Happy Valley Road
Suite 190
Peoria, Arizona 85383
Telephone: (623)824-5051
1615 E. Warner Road #2
Tempe, AZ 85284
14269 N. 87th Street #203
Scottsdale, AZ 85260
Neurofeedback appointments only

20325 N. 51st Ave. Building 10
Suite 178, Office 11
Glendale AZ 85308


We are an out-of-network provider and can assist clients with insurance reimbursement. All major credit cards are accepted for payment.