Request an Appointment Form

If you are a new client, please read the Your Visit page before using this form.

Please use this form to request appointment scheduling and ask any questions that you may have. To make it easier for us to find you the best fit and to let you know what is available, please include the following details in your message:

  • Your day and time availability for appointments
  • Payment needs (insurance, private pay, low-cost, etc.)
  • Male or Female therapist preference, if any
  • Specific therapist preference can be selected below
  • Other needs and preferences

Please keep in mind that we cannot guarantee availability for any of our therapists or any specific time, and that filling out this form does not sign you up a for an appointment. We are happy to work with you and let you know what is available!

Thank you!


Our Locations

Roseville

Burnsville