Request an Appointment

We are accepting new patients and the following insurance providers: Cigna, Aetna, Humana, BCBS, Medicare and more. We also have a private pay option. Please only submit the following form if you are ready to schedule. If you do not hear from us within 24 hours, please send a follow up email to: counselingmandala@gmail.com. Please note: couples much EACH complete the form.
Consent forms will be emailed to you after submission of this form so please check your provided email inbox. 

To get started, simply fill out the form below: