Consultation Request

You can complete our online screening form below. We aim to respond to your submission within a few business days. If, unfortunately, we are unable to accommodate your request at this time, we will offer alternative referrals or referral sources to assist you.

To ensure effective assistance, please provide accurate and complete information. The more details you provide, the better we can assist you. If the request is for a child or adolescent, we recommend that a parent or guardian assist with the submission.

For patient referrals, we kindly ask that the individual or a caregiver review the aforementioned steps and complete the screening form linked below.

This form facilitates a more efficient connection between prospective patients/clients and clinicians, enabling them to explore whether the requested relationship will be a good fit. Given the variability in clinician skill sets, availability, and financial policies, completing this form ensures that you find the right clinician to meet your specific needs.

If you are currently experiencing or believe you are in a medical or psychiatric emergency, which may include suicidal or homicidal thoughts, medication side effects, or any other urgent matter requiring immediate attention, please refrain from using this service. Instead, dial 911 or visit your nearest emergency room for immediate assistance.