Daya Mental Health and Wellness New Patient Appointment Request

Submit request and our office will send you our new patient intake paperwork via email. Once our intake packet is completed, our patient coordinators will call to schedule you with one of our providers.

We accept BCBS, Aetna, Cigna, TriCare and United. We do not accept Medicaid or Medicare.

First name

Last name

Email address

Phone number

What concerns would you like to be seen for?

Would you like to be seen for medication management or therapy?

Medication Management Therapy Both

Provider Preference

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