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.
What to Expect During Signup
Signing Up for Myself
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.
Referring a Loved One
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.
Referring a Client or Patient
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 in a crisis or life-threatening situation, please do not use this site. Call 988 immediately.