Appointment Request

Starting therapy or mental health care is an important step, and we’re glad you’re here. Please fill out the information below, and our team will connect with you to schedule your appointment.

Services are offered in person at our Mt. Clemens location (Coming Soon!) and virtually throughout the state.

First name(Required)

Last name(Required)

Email(Required)

Phone(Required)

How would you prefer to be contacted?

Text

How did you hear about Rare?

Date of Birth(Required)

Month

Day

Year

Insurance & Billing(Required)

What brings you to therapy?(Required)

Help us connect you with the right clinician by sharing what brings you to therapy at this time. Please provide as much or as little detail as you feel comfortable.

Are you interested in a virtual or in person appointment?(Required)

Virtual (Michigan)

In person (Mt. Clemens, MI)

First Available

Schedule(Required)

Mondays (Daytime)

Mondays (Evenings)

Tuesdays (Daytime)

Tuesdays (Evenings)

Wednesdays (Daytime)

Wednesdays (Evenings)

Thursdays (Daytime)