Submit your information below to expedite your first appointment
In order to expedite the scheduling process, please complete the appointment request form below. Our intake coordinators will review this information and will follow-up to get you scheduled with the provider who best fits your needs.
INSURANCE NOTE: Please note that we accept only private insurance and self-payment (out-of-pocket pay). We do not accept Medicaid, Medicare, or any other government insurance. Please visit our FAQ page for a complete list of insurance providers we accept.