This online form is a convenient way to request an intake appointment if you are a New Client.
If you are a Current Client, this form is a convenient way to request a therapy or psychiatry appointment with your provider.
***Please Note*** If you are a New Client, you must complete all intake paperwork within 48 hours of obtaining your tentatively scheduled appointment in order for that Intake Appointment to be approved and confirmed.
Please contact your Client Experience Team, JoAnne Rafalo and Andy Napier, at info@beyondyourvalley.com or 513.348.1780 if you need any assistance.