Request a Consultation

Please fill out the form below to request an appointment with Minnesota Mental Health Clinics. You will be contacted to schedule an appointment within the next 3 business hours (Monday – Friday, 9am to 5pm) at the phone number you provided.
Client Name(Required)
MM slash DD slash YYYY
By checking this box, you agree to receive SMS messages from MMHC (You can reply STOP to opt out at any time)
Privacy Policy
Primary Contact (If different then client)
Do you have Medicare as your primary or secondary insurance?(Required)
Preferred Locations
Would you like to be seen in office or via telehealth?(Required)
This field is for validation purposes and should be left unchanged.

By submitting this form, you consent to receive communications from us, including emails, phone calls, and text messages, regarding your inquiry and related services. You can opt out of these communications at any time.