GET STARTED

Begin care, at your pace.

Complete the short form below and we will reach out within one business day to schedule your first appointment.

WHAT HAPPENS NEXT

Three simple steps.

Complete the form

Share a few basic details so we can reach you and get you scheduled.

We reach out

We contact you within one business day to schedule your first appointment and answer any questions.

Confirm and prepare

Once scheduled, we send a secure video link, a brief telehealth setup guide, and instructions for completing your intake and insurance details through our patient portal.

Appointment Request

Tell us a bit about yourself.

PERSONAL INFORMATION

Full Name

Date of Birth

Phone

Mailing Address

ANYTHING ELSE

Anything you'd like us to know before we call? (optional)

Privacy: This form is for scheduling only. Please do not include medical or clinical details here. After we connect, we collect your insurance and health information securely through our patient portal, which is built to protect that information. A member of our team will reach out within one business day to confirm your appointment.

ALREADY A PATIENT?

Use the patient portal instead.

If you are an established patient at LumenMind, the secure patient portal is the fastest way to schedule follow-ups, request refills, and message your provider.

If you are in crisis right now

This form is not for emergencies. If you or someone you know is in immediate crisis, please call or text 988 (Suicide and Crisis Lifeline) or 911 for emergency services. Additional resources are on our Patient Resources page.