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.