Initial Appointment / Information Request

Please complete the form below to request an initial appointment and/or verify your insurance benefits. A member of our team will reach out to you after your form is submitted. You can also call us at 610-446-1861

Current clients: Please contact your therapist directly to schedule an appointment.

Completing this form for someone else? Please enter the patient’s information throughout the form. There is a section at the end where you can provide your own contact information.

We are currently accepting new clients ages 14–26 for our Intensive Outpatient Program (IOP).