New Patient Consultation

Tell us what you are experiencing

You do not need to select the correct specialty. Share your main concern, and the clinic team will help determine the most appropriate next step.

Request a consultation

Complete this short form, and the clinic team will contact you about scheduling, care fit, and insurance verification. This form is not for emergencies.

Full name

Enter the name the clinic should use when contacting you.

Phone number

Use a number where the clinic may leave a scheduling message.

Email address

Appointment and intake information may be sent to this address.

Primary area of concern

Choose the closest option. Select “Not sure” when needed.

Preferred contact method

Phone, email, or text - based on verified clinic capability.

Insurance provider

Enter the plan name only. Do not request member ID in this form.

General availability

Example: weekday mornings, weekday afternoons, or flexible.

Would you like the clinic to check your insurance?

Coverage varies by plan and service. Provide the name of your insurance plan, and the clinic team can contact you about known coverage and next steps before the appointment is finalized.

Please contact me about insurance and care fit.

I agree that Healing Lifestyle Medicine may contact me regarding this request.

Please do not include detailed medical information in this form. Clinical history will be collected through the clinic's secure intake process after scheduling.

Before You Book

Frequently asked questions

Common questions about scheduling, insurance, and what to expect at your first visit.

How quickly will someone contact me?

A coordinator will review your request and contact you during verified clinic business hours.

Can I request a specific appointment time?

The form may collect general availability. The clinic team will confirm actual dates and times based on the physician's schedule.

What should I prepare for the first visit?

After scheduling, the clinic may ask you to complete secure intake forms and provide a current medication list, relevant records, recent testing, and insurance information.

Can I book Islamic Psychology directly?

Yes. Select "Islamic Psychology" as your primary area of concern. The clinic team will contact you to discuss the pathway and the most appropriate next step.

What should I do in an emergency?

This website and appointment form are not for emergencies. Call 911 or go to the nearest emergency department for an immediate medical or psychiatric emergency.

Healing Lifestyle Medicine is an outpatient specialty clinic. We do not provide 24/7 emergency psychiatric care. If you or a family member are experiencing a life-threatening medical or psychiatric emergency, please dial 911 or visit the nearest emergency room immediately.