Insurance Information

Connections Wellness Group is Proudly In-Network with Most Major Insurance Companies

Most commercial insurance accepted as well as Marketplace, HMO, VA, Tricare and Medicaid plans. Connections Wellness Group is now accepting Superior Medicaid for adolescents only.

Connections Wellness Group is not in network with Medicare.

Company

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We do not accept Medicaid or Medicare at our Texas locations, however we do have self-payment options.

Patient's Name(Required)

First Last

Patient's Birthdate(Required)

Is the patient the policy holder?(Required)

Policy Holder's Name

First Last

Email(Required)

Phone(Required)

Policy Holder's Birthdate

Policy Holder's Relationship to Patient

Insurance Company's Name

Member ID

Group Number

State of location for services(Required)

How did you hear about us?(Required)

Services interested in(Required)

Accelerated/Group Therapy (PHP/IOP)

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Services interested in(Required)

Accelerated/Group Therapy (PHP/IOP)

Psychiatry/Medication Management

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Is there anything else you'd like us to know?

New Patient Appointment Request—You’re taking a step in the right direction.

To ensure a timely response, this form should only be used for new patient appointment requests. This form will help us get you connected with the right mental health professional to support your well-being. Here, you’ll provide some basic information to help us match you to a program that specializes in areas relevant to your needs. We will reach out to you shortly.

This form should not be used for emergencies. If this is an emergency, please contact 9-1-1 or for mental health emergencies, dial 9-8-8.

Contact Links for Existing Patients:

New Patient Appointment Request

Complete this form or call us at 877.747.4294 to request an appointment.