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Request an Appointment

Share a few details and our team will contact you to confirm your appointment and answer any questions. It only takes a couple of minutes.

About 2 minutes
Adolescents & adults
In-person or telehealth

Appointment Request

Fields marked * are required. This is a request. Our team will contact you to confirm.

First Name

Last Name

Phone

Patient Type

New PatientExisting Patient

Preferred Visit Type

In-PersonTelehealth

Requested Service

Preferred Date(optional)

We’ll do our best to accommodate your preference.

Preferred Time(optional)

Insurance(optional)

Plan name only. Please don’t enter your member ID number.

General Message(optional)

Please do not include sensitive medical or health information in this form. Share only what’s needed for us to contact you. Clinical details can be discussed privately during your appointment.

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I understand this form is not for emergencies and is not continuously monitored, and I have not included sensitive medical information.

By sending, you agree to be contacted by SBHS about your request. See our Privacy Policy.

What happens next?

1Our team reviews your request during office hours.
2We contact you to confirm a date, time and visit type.
3You’ll receive any intake steps before your first visit.

Prefer to call?

Office hours: Monday – Saturday, 9:00 AM – 5:00 PM

Call 240-716-8022

Insurance & cost

SBHS has been approved by Aetna, First Health and Coventry. Coverage varies by plan, so we’ll help you confirm your benefits. This website doesn’t accept payments.

Request an Appointment

Appointment Request

Thank You. Your Request Has Been Sent.