Intake Forms
If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.
If you would like for us to collaborate your care with another provider, simply fill out the following form.
Therapist Referral Form
Therapists and other Healthcare providers please use this form when referring potential clients to State of Mind Health & Wellness and click Submit to send their information to us for review & potential acceptance into our medication management program.