REMEMBER TO CLICK "SUBMIT" TO SAVE AND SUBMIT FORM.

After we receive your information, a team member will review your request and contact you within 2 business days to schedule your first consult appointment with an appropriate provider.

Given the many choices of clinics available, we appreciate you choosing us as a destination for your mental health care.

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FAX: (480) 454-1085

NOTE: Medication Refill Request By Email Only.

MAIN OFFICE:

4001 E Baseline Rd Ste 204

Gilbert, AZ 85234