Welcome to Metropolitan Behavioral Services

Thank you for choosing Metropolitan Behavioral Services. At our office, we are proud of the services we provide and offer only the best standards of clinical practice. We value you and respect your individual circumstances. To request an appointment, please complete the form below, and one of our staff members will contact you for scheduling within 24 hours (please note our office hours are Monday-Thursday).

First Name *

Last Name *

Street Address *

City *

State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code *

Phone *

Date Of Birth *

Email *

Appointment Reminders Preference? *

EmailText Message

How did you hear about us? *

Apppointment Type *Adult PsychiatryChild and Adolescent PsychiatryMedication Management Individual (Military Counseling, Grief Counseling, etc.)FamilyGroupIntermate Partner AssessmentBattered Intervention Program (BIP) Assessment (Dependency and Criminal)Anger Management EvaluationMental Health EvaluationParenting AssessmentSubstance Abuse EvaluationWoman Who Use ForceIntimate Partner Abuse Series

Insurance Provider *

Member ID *

Group Number *

Insurance Provider Customer Service Phone *

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