Please allow 24-72 business hours for your pre-screen form to be reviewed which will determine if your requested appointment is approved or denied. You may receive a 5-10 minute free phone call to clarify information and be sure you are an appropriate match with your provider and our agency.

Submitting this form is NOT an agreement or start to services. To know more about our rates, visit our investment page. For crisis and community resources, visit our resources page


Picture of Black woman on webpage linking to pre-screen form

STEP 1. Complete the pre-screen form first then request a new client appointment at the bottom of the form. CLICK HERE OR PICTURE ABOVE TO START FORM.

Picture of Black woman on webpage with step 2 of pre-screen process. Check email for updates.

STEP 2. Check your email or spam folder for updates about intake paperwork within 24-72 business hours. This may come from Beloved Wellness Center or Client Portal.

Disclaimer: This website is not monitored 24/7. If you have a medical or mental health emergency, please call 911.