Please complete the form below. Your information will be securely sent to our team, and we’ll contact you within 24 business hours.
Prefer to speak to someone on the phone? Call our Patient Care Representatives Monday–Friday, 8:00am–5:30pm at 833-278-4357.
Immediate or Crisis Support
If you’re experiencing a medical or other emergency, call 911 immediately.
If you need urgent mental health support, call 988 immediately. You’ll be connected to your local crisis support hotline.
Branch Contact
For urgent branch needs, visit our Locations page for direct numbers.
Insurance & Payment
We accept Apple Health/Medicaid, most commercial insurance plans, and offer a sliding-fee scale based on income.
Important Note
After you submit the form, we’ll call or email you as soon as possible. Calls may appear as Restricted or Healthcare. Please make sure your phone number and email are correct so we can reach you.
