Appointment Request

We're glad you're here and ready to take the next step toward your well-being. Please use the form below to request an appointment with New Horizons Behavioral Health, PLLC. We will review your request carefully and respond as soon as possible to find a time that works for you.

Before You Get Started

Services are available only to clients who live in Tennessee or Georgia.
Please allow up to 3 business days for a response.

If You Need Immediate Help

This form is not for urgent or emergency needs. If you are in crisis, please dial 911 right away, call the Suicide & Crisis Lifeline at 988 (or 1-800-273-8255), or go to the closest emergency department for immediate assistance.

Schedule An Appointment

Please complete the form below to schedule an appointment. We will try our best to accommodate your request and will be in touch as soon as possible.

615-471-0607

info@nhbhpllc.org

Serving Clients in Tennessee and Georgia

Name *

Email *

Phone

Preferred Date & Time

State of residence

Georgia
Tennessee

Preferred payment method

Insurance
Self Pay

Reason for seeking treatment

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Yes, I want to submit this form & agree to the terms of use. *