Keith Logan, MD

(704) 209-9470 http://mcpsychpa.com

In practice since

June, 1994

Current Availability

updated 09-19-2020
Accepting new patients/clients

Location #1

417 South Sharon Amity Road, Suite A
Charlotte, NC 28211
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Monday:

5:00 PM - 7:00 PM

Tuesday:

5:00 AM - 7:00 PM

Wednesday:

5:00 PM - 7:00 PM

Thursday:

5:00 PM - 7:00 PM

Friday:

5:00 PM - 7:00 PM

Saturday:

8:00 AM - 3:00 PM

Location #2

417 South Sharon Amity Road (Weekend), Suite A
Charlotte, NC 28210
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Location #3

417 South Sharon Amyity Road (Denise Logan, MSW/LCSW), Suite A
Charlotte, NC 28210
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Payment Methods

Visa
Mastercard
Cash
AmEx
FSA/HSA/HRA card

About Me
Consultation Request

See website:http:mcpsypchpa.com

Get started: request a consultation with Keith Logan, MD

This form helps prospective patients/clients and providers connect more efficiently and explore whether the requested relationship will be a good fit. As provider skill sets, availability, and financial policies vary, this form helps ensure you find the right provider for your needs.

If you are or believe you are experiencing a medical or psychiatric emergency, including suicidal or homicidal thinking, side effects to medication, or any other urgent or time-sensitive matter in which you need an immediate response, do not use this service. Instead call 911 or go to your closest emergency room.

This request is not an emergency or urgent matter. I wish to proceed

Clinical Info

Please tell us about the person for whom treatment is being requested

Patient/client first name *

Patient/client last name *

Patient/client gender *

Patient/client age *

My relationship to the patient/client *

My phone number *

How were you referred to me? *

Check all of the following that are applicable: *

In therapy now

On psychiatric medication now

In the hospital now or recently

In therapy in the past

Taken psychiatric medication in the past

Attempted suicide in the past

Hospitalized for psychiatric reasons in the past

Known neurologic or genetic disorder

None of the above

What kind of care is being sought? *

Please list your current medications. *

Do you have any allergies to medications? *

Please list any major medical problems (i.e.heart disease, lung disease, diabetes, cancer, ect.): *

Who is your current primary care physician? *

Please list the name, telephone number, and address of your local pharmacy: *

Who would you like to have listed as your emergency contact? (Please list name, telephone number, and relationship) *

Scheduling Info

Are there any times that would NOT work for scheduling an appointment? *

Do you have any other scheduling limitations? *

Payment Info

Keith Logan, MD does not participate in insurance plans. I understand I am responsible for payment in full at the time service is rendered, unless other arrangements have been made. I will be provided a statement so I may try to get some reimbursement from my insurance company if I am eligible. *

Yes

-Are you interested in being scheduled for our next availible intake appointment? If so please type "yes" in the box below. Then enter your preferred payment source and your demographic information into our secure encrypted portal system. We will be contacting you shortly. *

-Please indicate whether you are interested in a Psychiatric intake, a Therapy intake, or both. *