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Referral Form
Book Appointment

Appointment Request

Let's get in touch! Choose one of the options below.


1. Call Us or We Will Call You!

Prefer to speak with someone directly? Call us at 619-363-1920 — we’re happy to answer your questions and help you get scheduled.

Or if you prefer, schedule a brief call with our Client Care Coordinator. We will call you at your preferred time, get a better understanding of what you’re looking for and help match you with the right therapist — this isn’t a therapy session, just a chance to get started. ***If you are looking for more immediate mental health or crisis support you can reach the crisis line at 988.***

Schedule a Call

2. Fill Out Our Form Below

Complete this form with some information about yourself, and we’ll reach out as soon as
we can to answer any questions and help you get scheduled!

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NEW CLIENT FORM
 
Please complete this form and we will call you as soon as possible to schedule. We look forward to talking with you!
 
Please note that we only see clients who are at least 18 years of age. If the client is a minor we are happy to send you a referral list of practices who serve minors once you submit this form.
 
To select multiple hold down ctrl or command when making your selections
 
If you want to use insurance to pay for services, we have providers who are in network with Aetna, Cigna, Kaiser, Lyra, Tricare and VA/TriWest. If you have a different insurance you can inquire if your insurance offers "out of network benefits" and if so, we can provide you a "Superbill" to submit to them directly.
 
 
 
 
**OPTIONAL INFORMATION BELOW**
 
To select multiple hold down ctrl or command when making your selections
 
 
 
 
To request an appointment, please fill out the form below and our Client Care Coordinator will contact you shortly.
Please note that we only see clients who are at least 18 years of age. If the client is a minor we are happy to send you a referral list of practices who serve minors if you complete this form.
If you are wanting to use insurance to pay for services, we have providers who are in network with Aetna, Cigna, Kaiser, Lyra, Tricare and VA/TriWest. If you have a different insurance you can inquire if your insurance offers "out of network benefits" and if so, we can provide you a "Superbill" to submit to them directly.
To select multiple hold down ctrl or command when making your selections

Group/Workshop Interest

Please provide your information below and check off any groups in which you are interested in learning more about. We will reach out to you as soon as we get a set date for that particular group(s).