What is the purpose of the sign up for T.O.V.A. page?

Use the form on the page to sign up for A.D.H.D. testing using the T.O.V.A.

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Use tab to navigate through the menu items.

Sign up for T.O.V.A.

* Denotes a REQUIRED field

Patient Name

Patient Email

Patient Phone

Patient DOB (Age)

My Name

My Relationship with Patient

I am the patient.

I am a family member of the patient.

I am a provider or practitioner for the patient.

Other

My Email Address

My Phone Number

Relationship

Affiliation

Conact Options

Please contact me.

Please do not contact me.

Contact Options

Please contact me.

Please do not contact me.

Please contact the patient.

Please do not contact the patient.

Thank you for reaching out! If requested, a Vallis Mental Health representative will contact you within 2 business days

Ask us about Telehealth services!

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