Contact Us Today to Schedule a Session

Fill out the form below and we will respond within 24 hours! From there we can get your son or daughter booked for an intake assessment. We will send you an email with paperwork to complete online! We look forward to working with you.

Name
This helps us make sure we accept your insurance and verify information prior to scheduling an appointment.
This helps us make sure we accept your insurance and verify information prior to scheduling an appointment.
Indicate how the person receiving services is related to the insurance subscriber.
Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.
Upload front and back of insurance card
What days are you available for counseling appointments?
What times are you available for counseling appointments?
Please know if you are available for a 12pm appointment that would be the start time of the appointment, not the end of the appointment time.
If selected, your son or daughter would be given a Letter of Excuse so that they are not marked unexcused during their appointment time.

Testimonials of Client Experiences with Davis-Smith Mental Health