Request a Mental Health Consultation Today

Please fill out the form below to request an appointment with Minnesota Mental Health Clinics. You will be contacted to schedule an appointment within the next 3 business hours (Monday – Friday, 9am to 5pm) at the phone number you provided.
Client Name(Required)
MM slash DD slash YYYY
Primary Contact (If different then client)
Do you have Medicare as your primary or secondary insurance?(Required)
Preferred Locations
Would you like to be seen in office or via telehealth?(Required)
This field is for validation purposes and should be left unchanged.

By submitting this form, you consent to receive communications from us, including emails, text messages, and phone calls regarding your inquiry and related services. You can opt out of these communications at any time. Data rates may apply. See our privacy policy here.