If you are ready to get scheduled for a consult or your first visit, complete the form below to be matched with a provider that meets your needs. We will communicate about that provider and the timing and nature of your first visit upon receiving this form.

If you are experiencing a mental health emergency or crisis, do not use this form. Instead please call 911 or go to your nearest emergency department. If you are having thoughts of suicide, you can call or text 988 to reach the Suicide and Crisis Lifeline, available 24/7. If you are in crisis and located outside of the USA, please contact your local emergency services.