SHIELD Psychiatry PLLC

New Patient Pre-Screener

Insurance Pathway · Concierge Self-Pay Pathway

Dr. Marie D. Akers, DNP, APRN, PMHNP-BC, PPCNP-BC, PMHS
Concierge child, adolescent, and young adult psychiatry for ages 5–25 across Florida

Before You Begin

Choose the pathway that best fits your family

This pre-screener helps SHIELD Psychiatry understand your child’s, teen’s, or young adult’s needs before scheduling. Please select the pathway below that matches how you would like to begin care.

How would you like to start?

Option 1

Using Insurance

If you would like to use insurance, please check your coverage through Headway first. After checking your insurance benefits, complete the SHIELD pre-screener so our office can review next steps.

Check your insurance coverage through Headway.
Confirm whether SHIELD Psychiatry is in network for your plan.
Then complete the SHIELD pre-screener.

Step 1: Check Insurance Coverage Step 2: Complete Pre-Screener

Please complete the pre-screener after reviewing your insurance coverage so SHIELD Psychiatry can determine clinical fit and next steps.

Option 2

Concierge / Self-Pay

If you prefer concierge care, self-pay visits, or more direct access and flexibility, you may complete the SHIELD pre-screener now.

Complete the SHIELD pre-screener.
Our office will review whether the practice is a good clinical fit.
You will receive next-step information about scheduling and payment options.

Continue to Pre-Screener

Concierge and self-pay options may be appropriate for families seeking more direct access, flexibility, and premium support.

Helpful Instructions Before Completing the Form

To help us review your request efficiently, please complete the pre-screener as thoroughly as possible.

Please use the patient’s legal name and correct date of birth.
If the patient is under 18, a parent or legal guardian should complete the form.
Briefly describe the main concerns, current symptoms, school concerns, prior diagnoses, and current medications if applicable.
If you are using insurance, please check your coverage through Headway first and then complete the pre-screener.
Completing this form does not guarantee acceptance into care. Our office will review whether SHIELD Psychiatry is an appropriate clinical fit.

Please note: Completing this form does not establish a patient-provider relationship and does not guarantee acceptance into care. SHIELD Psychiatry is not an emergency or crisis service. If there is immediate danger, call 911 or go to the nearest emergency department. For mental health crisis support, call or text 988.