Make An Appointment

Our form takes less than 3 minutes to complete and helps us connect you with the best therapist for your needs. Here's the process:

Submit the Form

Tell us a little about yourself and what you need help with.

Book an Appointment

A scheduling coordinator will contact you within 24 hours.

Start Feeling Better

Meet with your therapist online or in-person.

All information submitted is encrypted and secure. If you are in crisis, please call 911.

How do I cancel an appointment?

If you need to cancel or reschedule your appointment, you can email or call your therapist directly. We suggest using email in case they are with a patient. It also makes rescheduling much easier.

Please be aware that Just Mind has a 24-hour cancellation policy.

Step 1 of 7

Client Information

Full Name of Client(Required)

First Last

Pronouns Used

What Texas city do you reside within?(Required)

Our therapists can only provide services to clients located in Texas at the time of sessions.

Client's Age(Required)

Please enter a number from 1 to 100.

Client's Date of Birth(Required)

Phone Number(Required)

Please enter the best number where we can reach you

Your Email(Required)

Enter Email Confirm Email

Client Address(Required)

Street Address City ZIP Code

Child Information

Parent or Guardian's Name (who is making the appointment)(Required)

First Last

Your Child's Name(Required)

First Last

If signing up more than one child, please list all children's first and last name and date of birth.

First Name, Last Name, DOB

Partner Information

Partner's Name(Required)

First Last

Your Partner's Date of Birth(Required)

Your Partner's Email

Your Partner's Preferred Pronoun

Appointment Information

Please tell us briefly why you are seeking support?(Required)

Is there anything else you would like us to consider when choosing a therapist for you?*(Required)

When would you have the ability to come for appointments?(Required)

Please note that evening and weekends are the most in demand and often have less availability.

How would you prefer for us to communicate with you?(Required)

Text

Phone

Disclosures

Information Security Notice(Required)

Please keep in mind that communications via email over the internet and text are not secure. Although it is unlikely, there is a possibility that information you include in an email or text can be intercepted and read by other parties besides the person to whom it is addressed. We may also send you a survey to see how we are doing and what we can do better.

I agree

Disclosure Agreement(Required)

I have read the disclosure agreement and agree.

Yes

HIPPA Compliance(Required)

I have read and understand the terms of HIPAA (Health Insurance Portability and Accountability Act)

Yes

Make An Appointment

Our form takes less than 3 minutes to complete and helps us connect you with the best therapist for your needs. Here's the process:

Submit the Form

Book an Appointment

Start Feeling Better

How do I cancel an appointment?

Insurance Information

Client Information

Child Information

Partner Information

Appointment Information

Disclosures

Other Information

Contact Us

Just Mind, LLC

Office Hours

About Us