New Patient Inquiry Form: THERAPY 
You have reached the new patient inquiry form for therapy services at Creekview Assessment Center, located in Newark Delaware. We are now taking new patients! 

Please complete this form if you are interested in learning more about individual or family therapy services. 
Our Creekview Clinicians: 
  • Michele Turley., M.Ed., Psy.D., ABSNP
  • Gina Mattei, Ph.D.
  • Wallesca Castro Rodriguez Subasic, Psy.D.
  • Rolf Ritchie, Ph.D.
The information you provide through this confidential webform, will allow us to make sure Creekview is the right team to assist you and match you with one of our psychologists. All inquiries submitted here are reviewed within 5 business days. One of our psychologists will contact you by email about scheduling an intake appointment. 

Additional information about our providers, services, and procedures can be found on our website at www.creekvewtesting.com

Email *
We send out very occasional email newsletters with updates about new providers, new services offered, and other updates at Creekview. If you would NOT like to receive these updates in the future, please check the box below. 
Patient First Name  *
Patient Last Name *
Parent/legal guardian full name 
(If patient is a minor or has a legal guardian)
Phone number
Patient Birthdate *
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In which state does the patient live? *
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