Request an Appointment

New patients looking to schedule an hour long introductory appointment should fill out the form on the right titled “Intake”. Returning patients looking to schedule a 15 minute review appointment should fill out the form on the left titled: “Session”.

If you’re having trouble with the forms below for any reason feel free to call (734) 834-8954 to set up your appointment over the phone.

Session

(For Returning Patients)

Intake

(For New Patients)

**** BEFORE HITTING “BOOK INTAKE” ****

Please take pictures of the front and back of your Insurance and State ID cards and either email them to: frontdesk@earlytreatment.org, or fax them to: (734) 780-7506.