Get Connected to the Right Care

To make sure we match you with the right care team at Mission Connection, we have a few questions to ask.

Get started today by filling out the form below.

Experiencing an immediate emergency?

Get Started

What to Expect During Signup

Estimated time needed: 10-15 minutes

We believe in treating the whole person. That’s why our intake asks for a bit more detail than others—including your insurance coverage and existing healthcare providers.

  • Your Insurance Card: So we can verify your benefits and copay immediately.
  • Current Provider Details: Contact info for your primary care doctor or current psychiatrist to ensure coordinated care.
  • Medical History: A general idea of current medications or past diagnoses.

Estimated time needed: 3 minutes.

Our goal is to help your loved one get the care they deserve. We will ask questions about your concerns for them, age and contact information, if they are over the age of 18.

Estimated time needed: 5 minutes.

Our goal is to help your client or patient get the mental health support needed. We will need contact information, referral details, and age information to ensure we can offer the best care.

Your data is encrypted and HIPAA compliant.

If you are feeling overwhelmed or in immediate danger, please reach out for help right now.

You do not have to carry this weight alone, and there are people who care deeply about your safety and are ready to listen without judgment. Your life and your safety matter. Please use these confidential resources immediately to get the support you deserve.

Immediate Emergency Support
  • Life-Threatening Emergency: Call 911
  • Poison Control: 1-800-222-1222
  • Suicide Prevention Lifeline: 1-800-273-8255
  • Crisis Text Line: Text “DESERVE” to 741-741
  • National Hopeline: 1-800-784-2433
Specialized Support Lines
  • Domestic Violence: 1-800-799-7233
  • Self-Harm Support: 1-800-366-8288
  • LGBTQ+ Trevor Project: 1-866-488-7386
  • GLBT National Hotline: 1-888-843-4564
  • Eating Disorder Crisis Line: 1-800-233-4357

Please take that first step. Whether you prefer to call or text, these advocates are waiting to help you through this moment. 

To get assistance from Mission Connection please call 866-833-1822.