Appointment Request
Please complete the Appointment Request, in full. After you submit, you will be sent an email to create a username and password which will give access to your dashboard, self scheduling and communication with your provider. Thank you!
Personal Information:
Gender of Legal Record:*
Contact Information
Address
Please select a Provider:
Your Information is confidential. However, if you are uncomfortable fully describing your reasons for seeking services, please provide enough information so our staff can match you with the appropriate provider.
Insurance:
EAP Information:
Submit
Cancel
Appointment Request
Please complete the Appointment Request, in full. After you submit, you will be sent an email to create a username and password which will give access to your dashboard, self scheduling and communication with your provider. Thank you!
Personal Information
Contact Information
Phone

Address

Please Select a Provider:
Please explain the reason you are seeking help at this time:
Insurance
Submit
Cancel
Clinic Address
5300 Town and Country Blvd. Suite 130
Frisco, TX 75034-6910
Clinic Phone No.
(972) 234-6634

Billing Phone No.
(972) 234-6634
Business Hours
8a-6p Monday - Friday
8a-1p Saturday.