Get Started

Could you or a loved one benefit from one of our behavioral health services? We’re here to help. Fill out our form and one of our team members will be in touch with you shortly.

hello@mhresourcesolutions.com
(804) 293-0765 (Virginia)
(210) 753-8366 (Texas)

Patient Name

First Name

Last Name

Email

Phone

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Patient Date of Birth

MM

DD

YYYY

Medicaid Number

Insurance Provider

What is your relationship to the patient?

Self

Friend/Family

Agency

How can we support you?

24/7 helpline

Need immediate help? Call the 988 Suicide & Crisis Lifeline for free, confidential support 24/7. You can also text 988 or start a chat online.

Insurance

We accept insurance for all mental health services, though coverage may vary. Our team will verify your benefits and provide clarity before your appointment.