Intake Form
Set an appointment with Xander Mental Health Clinic
Start your health journey with us. Tell us how to reach you and what kind of care you need.
Temporary image slotStart here
Request your appointment in about two minutes
Share a few details and our team will contact you to confirm your visit.
- Quick form with no long paperwork up front
- A team member follows up personally
- Care for adults, children and families
What happens next
From request to first visit
We contact you
Our team reaches out to confirm your details and find a time.
You prepare
Gather your ID, insurance card if you have one, and a list of medications.
You meet your provider
Your first visit focuses on listening to you and planning next steps.
Intake FAQ
What happens after I submit the form?
A member of our team contacts you, usually by your preferred method, to confirm a time and answer questions.
What should I bring to my first visit?
Bring a photo ID, your insurance card if you have one, a list of current medications and any records from other providers.
Do I need insurance?
Tell us how you plan to pay when you request your visit, and our team will explain your options. Call 945-297-6410 with questions.
Can I request an appointment for my child?
Yes. Choose My child in the form and a team member will follow up with you.