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Phone Number

Preferred Contact Method*

Phone

Email

Reason for Seeking Care*

Services of Interest

Psychiatric Evaluation

Functional lab testing

Documentation and form completion

Have you previously seen a psychiatrist, therapist, or functional medicine provider?

Yes

No

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Consent*

I understand that this form is for inquiries only and does not establish a patient–physician relationship until my first scheduled appointment.

Disclosure for Non-emergency mode of contact*

I understand that Transcend Functional Psychiatry does not provide emergency services. If I am experiencing a medical or psychiatric emergency, I am to call 911 or go to the nearest emergency department. For immediate crisis support, call or text 988 (Suicide & Crisis Lifeline)

We’d love to hear from you. Whether you’re ready to schedule an appointment or have questions about our services, we’re here to help.

New Patients: Please complete our New Patient Inquiry Form to get started.

Existing Patients: Contact us by phone, email, or your patient portal for scheduling and follow-up needs.

⚠️ Emergency Notice

Transcend Functional Psychiatry does not provide emergency services. If you are experiencing a medical or psychiatric emergency, call 911 or go to the nearest emergency department. For immediate crisis support, call or text 988 (Suicide & Crisis Lifeline)

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