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If you are a qualified telehealth orginating site intested in including mental health treatment to your facility or if you a a mental health professional who is interested in telemental health consultation, please contact us via phone, e-mail, or by completing the following form:

*Please note that this form is not intended for individuals who are interested in seeking personal mental health treatment.  If you are experiencing a mental health crisis, please contact a local mental health provider, your primary care physician, or your local emergency room.

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

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By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.