Appointment Request

Schedule an Appointment

Please complete the form below to schedule an appointment.

If you are a returning client please use the client portal below.

Full Name

Email Address

Phone Number

Insurance (please specify it is a commercial or Medicaid/Centennial plan)

Preferred Counselor

Are you looking for short term-solution focused or long term therapy?

Short Term Long Term

Are you a First Responder?

AFR Bernalillo County Fire Dept Other First Responder

Do you prefer Telehealth, In Person or Either?

In Person Telehealth No Preference/Either Will Work

Please add any additional information needed