Request a Therapy Appointment

Welcome! Please Read Before Submitting This Form

Starting therapy is a meaningful step toward growth, healing, and well-being. We’re honored that you’re considering Synapse Solutions for your mental health care. This form will help us better understand your needs so we can match you with a therapist and begin the intake process.

This form is intended for new clients seeking individual therapy services with one of our licensed clinicians.

Already a Client?

If you are an existing therapy client, please log in to your Patient Portal or call our front desk to request or manage appointments with your provider.

Seeking an Evaluation Instead?

If you are interested in:

ADHD Assessment or
Psychological/Neuropsychological Evaluation

Please have your referring provider (e.g., healthcare or mental health provider, psychiatrist, case manager) complete and submit our Referral Form to our office. These evaluations are not scheduled through this form.

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