Contact Alis Family Psych

Contact Alis Family Psych
Is this a medical or psychiatric emergency?
This form is for non-urgent communication only. If you are experiencing a mental health crisis, severe side effects, or a medical emergency, please dial 911, dial 988 (Suicide & Crisis Lifeline), or go to the nearest emergency room immediately.
Are you a current patient of Alis Family Psych?
Please use our secure Pre-Intake portal to submit your information and verify your insurance so we can schedule your first visit: [ CLICK HERE ]
Patient Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
What is your primary reason for contacting us?
Please describe your issue briefly.

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