New Clients
360 Talk Therapy – New Client Inquiry & Intake Screening
Start on our website with a short intake request. Our intake coordinator will follow up to schedule a brief consultation and send any clinical paperwork securely through the patient portal.
Recommended
Send An Intake Request On This Website
A short form with basic scheduling and contact details only — no diagnoses, medications, symptoms, insurance ID numbers, or Social Security number.
Prefer Our Existing Intake Form?
Our previous new client inquiry and intake screening form is still available and opens in a new tab.
Open Secure Intake Form (opens in a new tab)Emergency notice: 360 Talk Therapy is not an emergency service. If you are in immediate danger or experiencing a medical emergency, call 911. If you are experiencing a mental health crisis, call or text 988.