Appointment Request Form
Prefer that we reach out to you? All requests for an appointment are responded to within 1 business day.
By filling out the Appointment Request Form above, you are requesting that our in-take coordinator give you a call or email you to answer your questions and set-up your first appointment.
If you need immediate assistance
The National Suicide Prevention Lifeline provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week, across the United States. The Lifeline is comprised of a national network of over 150 local crisis centers, combining custom local care and resources with national standards and best practices.