Schedule Appointment

Thank you for your interest in Inner Balance Psychiatry. We look forward to meeting you to learn more about your needs and explore how we can support you on your journey toward wellness. Please complete the form below, and a member of our team will contact you to schedule your appointment.

Intake Form

Name *
Email *
Phone # *
Date of Birth *
Insurance *
Insurance Other
Current Psychiatric Medication *
Current Non-Psychiatric Medication *