Register for a New Appointment Name * First Name Last Name Email * Phone (###) ### #### Are you seeking virtual or in-person services? * Virtual In-person (Chaska, MN) How Did You Hear About Us? * Can We Contact You Via Phone Call? * Yes No Insurance Coverage? Yes No (private pay) What Mental Health Services Are You Seeking? * Therapy Medication Evaluation/Management Both Preferred Availability? Mornings (8-11am) Afternoon (12-4pm) Early Evening (5-7pm) Open to First Available Reason For Services? * Thank you for submitting an appointment request at Mind Matters Collective, we look forward to the opportunity to work with you! Your request has been received by our Referrals Team. Provider placement is made intentionally using the reported presenting concerns/goals, scheduling availability, and all other reported preferences. You should expect communication from a Mind Matters Collective team member within 1-2 business days.Please note: MMC emails may get sorted into Junk or Spam inboxes. Please actively review all email inboxes or voicemail for communication from our team members. MMC emails look similar to this: name@mindmatterscollective.com If you have a life threatening emergency please call 911 or go to the nearest Emergency Room immediately Hennepin County Crisis for Adults: 612-596-1223 Hennepin County Crisis for Children (Ages 17 and younger): 612-348-2233 Call Crisis Connection (24 hr support) at (612) 379-6363 or toll free at 1-866-379-6363
