Get Started – St. Mary Behavioral Services Inc.

How it works

Submit basic information

Tell us who you are, how to reach you, what you need, and your insurance or payment preference.
Intake review (1–2 business days)

Our intake coordinator reviews fit and service availability. If we can help, we’ll reach out to schedule.
Scheduling & confirmation

We confirm your appointment via your preferred contact method and share any forms or what to bring.

🔒 Privacy: Information you share is protected by applicable state and federal privacy laws. Do not include emergencies; call 911 or go to the nearest emergency department.

Request Services

Complete the form below. We’ll review and contact you within 1–2 business days.

Full name of individual seeking services

Date of birth

Preferred contact

Phone number

Email address

Primary reason for seeking services

Insurance or payment

Current living situation (optional)

Referring agency or representative (if applicable)

Briefly describe needs or goals (optional)

I understand this form is not for emergencies and I consent to be contacted about services.

You’ll receive a confirmation on screen. We typically respond within 1–2 business days.