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Let's find the right provider for your needs

This form is for new client scheduling only. To reschedule, cancel, or book additional sessions, please contact your provider directly or call 888-718-8148.

What service are you looking for?*

What is the most important issue that you are facing?

Pick your top concern*

Tell us a bit about yourself

Client's age and location help us find licensed clinicians in your area.

Client's DOB*

Client's Age: {{ age }} year(s)

Client’s gender on file with insurance company*

Zip Code*

Insurance Provider*

Select type of therapy

What format of therapy are you looking for?*

Select clinician and time slot

Sorry, we don’t have in-person options that match your criteria currently, but we may have Teletherapy options that fit your needs.

Sorry, we don’t have any therapists who match your insurance and criteria right now. Please adjust your search, or call our Intake team at (888) 830-0347 for help.

Specialties

Office Location

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Next Available: {{ formatSlotDate(slots[0].startDt) }}

Available Slots

Client Details

Please provide your insurance information to verify eligibility and potential co-pay. If you selected "No Insurance" previously, you can skip this step or provide details if you change your mind.

Insurer Details

Please provide your insurance information to verify eligibility and potential co-pay. If you selected "No Insurance" previously, you can skip this step or provide details if you change your mind.

Good news. You are one step away from your booking.

Your Selection:

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Describe the reason for seeking therapy*

Important Information for Minor Clients (Under 18):

A parent or legal guardian is required to attend the initial appointment with the minor.

Please do not drop off your child without staying for this first session.

I understand that a parent or legal guardian must attend the first appointment.*

How would you like to be contacted? Fill in a preferred choice:

We may send you appointment reminders, requests for information, or other important details related to your care. You can opt out of these messages, but doing so may make it difficult for us to keep in touch with you.

Send me SMS alerts about my appointment

Send me email alerts about my appointment

{{ getClientFullName() }}, your Mindfully appointment with {{ getClinicianName() }} has been booked!

Appointment Summary

Name of Therapist: {{ getClinicianName() }}

Date & Time: {{ formatSlotDate(this.selectedSlotObject.startDt, 'long') }}, {{ formatSlotTime(this.selectedSlotObject.startDt, this.selectedSlotObject.endDt) }}

Reminder: First Appointment for Children and Teens (Under 18):

A parent or legal guardian is required to be present for the minor’s initial appointment.

Location of Appointment: {{ formatLocation(selectedSlotObject?.location?.address) }}

This is a teletherapy appointment. You will receive a link to your therapist’s virtual meeting room shortly.

At the time of your appointment, please join the session from a private, quiet space with a reliable Wi-Fi connection, using a computer, tablet, or smartphone with a camera.

If you need to cancel or reschedule, please call 888-718-8148.