Benjamin's Behavioral Health Services

New Patient Request

We strive to provide every patient with personalized care that effectively fits their individual needs.
If you are a new patient requesting service, please fill out the form below and our new patient coordinator will get back to you in one business day.

This form of communication should not be used for urgent matters. If you are having an emergency, or feel like harming yourself please dial 911 or go to your nearest emergency room.