Request a Consultation

Thank you for your interest in MP Psych Care.

New patient consultations begin with the completion of a brief intake form. This process allows for thoughtful review to ensure each patient receives appropriate and focused care. Consultation requests are typically reviewed within 48–72 hours to ensure timely and focused care

Consultation Process

Step 1: Submit Consultation Form

Complete the secure intake form with general information regarding your needs and treatment goals.

Step 2: Clinical Review

All submissions are reviewed to assess appropriateness for services provided.

Step 3: Scheduling (If Approved)

If services are determined to be an appropriate fit, you will be contacted with next steps for scheduling your initial evaluation.

Important Information

Submission of this form does not guarantee acceptance as a patient.

MP Psych Care reserves the right to determine appropriateness of care.

This form is intended for non-emergency, non-urgent requests only.

🚨 If You Are Experiencing an Emergency

If you are experiencing a mental health emergency, call 911 or dial 988 for the Suicide & Crisis Lifeline

Privacy Notice

This consultation form is submitted through a secure, HIPAA-compliant platform. Please provide only the information requested. Do not include highly sensitive or urgent medical details.