Appointment Request

If you are a provider making a professional referral, please fill out the Provider Referral section below. If you are an individual seeking services, please fill out the Appointment Request section. Due to the volume of appointment requests, it may take a few days to receive a reply; thank you for your understanding. Please note: Not all providers are in-network with the insurance companies listed below. Contact us for more information.

If you are in crisis, seek help at your local emergency department or call St. Vincent Stress Center at (317) 338-4800.

Provider Referral

Please submit information for client you wish to refer below:

Insurance Carrier

Appointment Request

Insurance Carrier