Book Your Appointment

Complete the form below and we'll contact you within 24 hours to confirm your appointment time. You can also call us directly at 469-992-1703.

⚠️ In Crisis?

If you are experiencing a mental health emergency, do not wait for an appointment.
Call 988 · Call 911 · Text HOME to 741741

Request Your Appointment

We'll reach out within 24 hours to confirm your time and answer any questions. All fields marked * are required.

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth

Insurance Provider *

Preferred Date *

Preferred Time *

Visit Type *

Reason for Visit / Chief Concern *

Previous Mental Health Treatment?

Yes, I have received mental health treatment before No, this is my first time seeking mental health care

* Required. By submitting this form you consent to Grace Behavioral Healthcare contacting you to schedule your appointment. We'll respond within 24 hours. All information is strictly confidential per HIPAA regulations.

Book Your Appointment

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⚠️ In Crisis?

Request Your Appointment