Join Waitlist & Make A Request

Please Note: Our waitlist is first-come, first-serve! So keep an eye out for an EMAIL from us when a provider opens up with availability.

What service are you looking for?*

Desired Provider Specialty (select up to 3)*

Have you experienced any suicidal ideation or have been hospitalized for psychiatric reason in the last 90 days?*

YesNo

Best Day For An Appointment*

Best Timeframe For An Appointment*

Preferred Location*

VirtualColorado Springs, COAurora, COPueblo, CO

Preferred Colorado Springs Office*

Health Insurance Carrier

We'll immediately notify your preferred provider to see if they have any potential openings! You can leave it blank if you don't have a preferred provider.

Preferred Provider (leave blank for any provider)

Preferred Provider Email

Join Waitlist & Make A Request

Your Information