Request a New Patient Appointment

Thank you for your interest in care with Integrative Mental Health of the Midwest. Before your first appointment can be scheduled, all new patients must complete an initial new patient appointment request and once approved, the required intake, consent and insurance paperwork will be sent.

This helps our team review your information, confirm that the required documentation has been received, and provide appropriate next steps for scheduling.

Completing this request does not establish a provider-patient relationship.

If you are experiencing a medical or mental health emergency, are at risk of harming yourself or someone else, or need immediate support, call 911, call or text 988, or go to the nearest emergency department.

Before You Begin

Before submitting this request, please be prepared to provide:

• Your legal name and contact information

• Your date of birth

• Your state of residence

• The type of care you are seeking

• Your insurance carrier, if applicable

• A valid email address where you can receive next-step instructions

After you submit this request, you will receive instructions for completing the full intake packet. Scheduling instructions will be provided only after all required paperwork has been submitted and reviewed.

Already an established patient?

If you are already established with Integrative Mental Health of the Midwest, please use the patient portal or existing-patient scheduling link instead of completing a new-patient request.