Self-Referral Form

After you have completed the form, someone from the office here at Mindful Minds Psychiatry will reach out to you via call or text to inform you more about treatment and inquire about your health to ensure you meet criteria for treatment.



During this conversation, you will go over treatment options, insurance, pricing, and answer any questions you may have. Once we have completed this step, you will be added to our system, ensure we have proper paperwork, consents, release of records, and we will get you scheduled for the next steps. 

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