• Welcome to Medens Health

    Welcome to Medens Health

  • Let's get started!

    We’d like to learn a little more about what brings you to Medens Health. This brief questionnaire will help us understand your needs and determine the best next steps for your care.

    We’ll ask you to:

    - Provide basic information so we can contact you
    - Tell us about the type of care you’re seeking
    - Let us know how you plan to pay for your care
    - The questionnaire takes approximately 5 minutes and can be completed on a phone, tablet, or computer.

    The information you provide is confidential and protected by HIPAA.

    We strive to respond as quickly as possible. Responses may take longer after hours, on weekends, or during holidays.

    If you are experiencing a life-threatening emergency or immediate crisis, please call 911 or go to the nearest emergency room.

  • Appointment availability as of October 19, 2026

    Medens Health is committed to meeting applicable timely access to care requirements, including offering appointments for non-urgent care within required timeframes when applicable.

    At some locations, however, our providers may be at capacity and unable to accept new patients. If an appointment is not currently available, you may choose to join our waitlist, and we’ll contact you when an opening becomes available.

    Our current availability is:

    Arizona:
    All providers are full and not accepting new patients at this time. The next available appointment is in November. Only virtual appointments are currently available.

    California:
    Counseling/therapy: We are offering new patient appointments within 10 business days. Most availability is for virtual appointments; in person is only available at our Beverly Hills and Orange County locations.
    Psychological testing (including ADHD and Autism evaluations): We are accepting new patients with first appointment dates in late November or early December. For all evaluations, an in person visit to either our Beverly Hills or San Francisco office is required.

    Iowa:
    We are accepting new patient appointments within 10 business days. Only virtual appointments are currently available. 

    Michigan:
    All providers are full and not accepting new patients at this time. The next available appointment is in November. Only virtual appointments are currently available.

    Nevada:
    Counseling/therapy: All providers are full and not accepting new patients at this time. The next available appointment is in December. Only virtual appointments are available.
    Psychological testing: We are accepting new patients with first appointment dates in late November. For all evaluations, an in person visit to our Las Vegas office is required.

    Washington:
    All providers are full and not accepting new patients at this time. The next available appointment is in December. Only virtual appointments are offered.

    If we aren't able to offer you an appointment soon, we'd be happy to place you on the waitlist. Please note your waitlist preference in the comments section at the end of this questionnaire.

  • A little about you

    Let's get started with some basic information.
  • Format: (000) 000-0000.

  • Did you see the appointment availability disclaimer on page two? 

    Presently, all of our licensed providers in Nevada are full and not accepting new patients. Our Externs, who are student trainees, are accepting new patients who are Nevada Medicaid beneficiaries. 

  • Are you submitting this on behalf of someone else? For example, a minor or dependent adult.*

  • How would you prefer to receive care?

    Note that some of our locations and providers are virtual-only.
  • Which of the following applies?*
  • Which is your preferred location?

  • What is the main reason you are seeking care?

  • Are you seeking psychological or neuropsychological testing?*
  • Since you answered Yes, what type of testing are you seeking?*
  • Are you seeking therapy / counseling?*
  • Since you answered Yes, what type of therapy are you seeking?*
  • Why are you seeking care? Select as many that apply.*

  • Paying for your care

  • Do you intend to use your health insurance, or would you prefer to pay out of pocket?

    If you choose to use insurance, please keep in mind:

    - Insurance generally requires a qualifying mental health diagnosis for services to be covered.

    - Your health plan may determine which services are covered and may place limits or authorization requirements on care.

    - Using insurance requires Medens Health to share certain diagnostic, treatment, and billing information with your health plan. In some circumstances, insurers may also request additional clinical records to determine coverage or medical necessity.

    - Paying out of pocket generally provides greater privacy and flexibility, as your care is not submitted to your health plan for reimbursement.

    If you have questions about your specific coverage or benefits, we recommend contacting your health plan directly.

  • What’s your payment preference?*

  •  

    To verify your benefits, please provide your plan information. Additionally, you'll need to upload pictures of your insurance card and photo ID.

    Once you have these cards ready, click Next to proceed.

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  • Insurance Information

  • Medens Health is in network with many insurance plans; however, participation varies by provider and plan. If we are not in network with your plan, payment will be due directly to Medens Health, and we can provide a Superbill for you to submit to your insurance for possible reimbursement.

    By providing your insurance information, you authorize Medens Health to verify your mental health eligibility and benefits, including copays, coinsurance, and deductibles. Results are typically available by the next business day.

    Keep in mind that verification of benefits does not guarantee coverage or payment. For questions about your specific benefits or coverage, please contact your health plan directly.

  • Insurance card issue date:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth:*
     - -
    2 digit month, 2 digit day, 4 digit year
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  • Are you the primary subscriber on your insurance plan?*
  • For insurance purposes, what sex is listed on your birth certificate?*
  • Do you receive your health insurance through Medicaid / Medi-Cal?*

  • Congrats, you're all done!

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year

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