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Prices shown are official Houston flat rates. Insurance may cover a portion — you can select "Use Insurance" at checkout.

Total today

$85.00 USD

Service

Mental Health Outreach Visit

Full Name *

Phone *

Email *

Preferred Date *

Preferred Time *

Notes (optional)

Private intake — helps your specialist arrive prepared

Optional & confidential. Stored encrypted; seen only by your Mental Health Outreach Specialist. If you are in crisis, call or text 988 now.

What brings you to this visit?

Currently seeing a counselor or provider?

Preferred language

Any safety concerns we should know about?

Anything else for your specialist (optional)

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By booking you acknowledge our HIPAA Notice of Privacy Practices and consent to ADEYSONS HEALTH collecting protected health information (PHI) necessary to provide phlebotomy / specimen-transport services. See our Privacy Policy.