New Patient Inquiry

Connect with our team any time by calling our office, or fill out the secure form below and we’ll get in touch right away.

We can quickly verify your insurance so that you or your loved one can begin treatment confident that our services are covered. Outpatient mental health treatment programs are typically covered by insurance.

Name*

First

Last

Email*

Callback phone number*

Best method to contact you?

Phone

Who is seeking treatment?*

Yourself

A Loved One

How did you hear about us?

Subject*

Message*

Which Location

Falmouth

Gorham

Scarborough

Preferred type of appointment*

In-person

Telemedicine

Insurance Information

How will you be paying for services?*

Health Insurance

Self-pay

Policy Holder's Name*

First

Last

Policy Holder's Address*

Street Address Street Address Line 2 City State Zip Code

Policy Holder's Date of Birth*

Insurance Company's Name*

Insurance Company's Phone Number*

Member ID*

Group Number*

Subscriber relationship to client*

Providing mental health counseling for individuals, couples, families, children and groups in greater Portland, Maine.

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DUNSTAN CROSSING
5 Stewart Drive, Suite 201
Scarborough, ME 04074
Ph: 207-303-0061 | Fax: 207-221-1257

Office Hours
Mon. - Fri. 8 am - 4 pm

Appointments may be made outside of office hours.

FALMOUTH
261 US 1
Falmouth, ME 04105
Ph: 207-808-8085 | Fax: 207-221-1257

Office Hours
Mon. - Fri. 8 am - 4 pm

Appointments may be made outside of office hours.

GORHAM
7 Railroad Ave Suite 317
Gorham, ME 04038
Ph: 207-222-0309 | Fax: 207-221-1257

Office Hours
Mon. - Fri. 8 am - 4 pm

Appointments may be made outside of office hours.

SCARBOROUGH
306 US Rte 1 Building B South
Scarborough, ME 04074
Ph: 207-219-8227 | Fax: 207-221-1257

Office Hours
Mon. - Fri. 8 am - 4 pm

Appointments may be made outside of office hours.

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