New Patient Appointment Request Form 

This form is the first step in our intake and scheduling process and should take approximately 10 minutes to complete. To ensure a smooth experience, please have your insurance card and photo ID available before you begin.

If you would prefer to schedule by phone or would like to ask questions about our office and services before deciding if Wellspring is the right fit for you, we’re happy to help. Please contact our Patient Coordinator at 586-846-4835 or email us at hello@wellspringtherapy.net, and we’ll be glad to assist you.