Credit Card Update Form
This form will not automatically charge the card on file, this is only to update the credit card on file with our office.
If you are updating your credit card and want your balance processed, please include that information in the comments/notes section.
This link will take you to an external secure HIPAA compliant & PCI compliant portal to enter your information via Intake Q.
Find the Help & Hope You’ve Been Searching For
1. Request an Appointment
Simply click here to fill out our appointment request form. Within 24 business hours, we’ll be in contact with you to find the right therapist for you.
2. We’ll Schedule Your Appointment
Once we’ve found a therapist that’s a good fit for your needs, we’ll send you intake paperwork and schedule your first appointment.
3. Meet Your Therapist
Meet your therapist and begin your journey to mental wellness.
Secure your spot with one of our providers today.
Begin your path to support—request a session and our Intake team will follow up to confirm.