Thrive Mental Health Las Vegas

Thrive Mental Health Las Vegas Send Message

Your info

First name

Last name

Email

Phone

Name you go by

Date of birth

State

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Reason for care

What is the reason for seeking care?

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Anxiety Behavioral issues Depression Grief/Loss Relationship issues Trauma Stress/Burnout Self-Esteem Life Transitions Marital or Premarital Counseling Other

Administrative

Inquiry reason

Billing & Payment

I understand that Thrive Mental Health Las Vegas operates as a private-pay practice and that all services are paid out-of-pocket.

A superbill can be provided for possible out of network reimbursement.

Yes

Client Preferences

Preferred appointment times (Check all that apply)

Morning Afternoon Evening Weekend Sunday Monday Wednesday Thursday

Preferred modality

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For example: what you'd like to focus on, payment questions etc.

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If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice.