Schedule An Appointment (No new clients at this time)

Submitting a request through this system does not establish a therapist-client relationship. If you are experiencing a mental health crisis or emergency, please call 911 or go to your nearest emergency room or you can text HOME to 741741 for 24/7 from anywhere in the US for immediate crisis text support.

For new clients, please fill out the contact form below, omitting any personal health information, to set up a 15 minute free phone consultation. We will reach out via text to schedule a consultation.

15 MIN CONSULTATION REQUEST

This form is for NEW clients who are looking to become a new client for Luma Via mental health. If you are an existing client, please use the portal to the right, labeled "Request Appointment". Once we receive your information, we will text you to see what time works for a 15 minute consultation.

First Name

Last Name

Phone

(###)

###

####

Message

For existing clients:

This REQUEST APPOINTMENT portal is HIPAA-compliant and protects your personal health information.

Request Appointment

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