Use this form to request a new patient therapy appointment. Wait times fluctuate based on the service requested and time of year.

Give iHEAL permission to send your medical information to another agency or person using this form. 

Rights and expectations of iHEAL patients can be found in this document. 

Please see our professional disclosures for licensed therapists still under supervision. 

Use this form to request an assessment/testing. Wait times fluctuate based on the service requested and time of year.

Our informed consent gives you information about iHEAL services, confidentiality, benefits and risks of treatment, payment options, and agency policies.

Use this form to submit a referral for our Partial Rehabilitation Program. ONLY licensed mental health providers can make a referral.