Admissions
Start here.
Send this and a person calls you back. No automated queue, no sales script — a conversation about what is going on and whether we can help.
Request a call
Please do not include clinical details here. We will take history securely once we reach you.
In crisis right now? Call or text 988 instead of waiting on this form.
INTAKE FORM — NOT BUILT. These fields collect PHI. The live site leaves this form without a backend on purpose. Do not wire it to Elementor Forms’ default database storage; it needs a BAA-covered endpoint chosen by the owner. Submit label: Request a call.
| Field | Name | Type | Required | Options |
|---|---|---|---|---|
| Your name (required) | name | text | required | |
| Phone (required) | phone | tel | required | |
| optional | ||||
| Which island are you on? | island | select | optional | Select one · Oahu · Maui · Hawaii Island · Kauai · Molokai · Lanai · Outside Hawaii |
| Anything you want us to know before we call | note | textarea | optional |
Insurance and cost
You will know what it costs before you start.
We verify before you commit
We check your benefits and tell you the expected out-of-pocket number up front. You decide with the real figure in hand, not an estimate that changes later.
No surprise balance
If something in your coverage changes mid-program, you hear it from us first. Nothing gets billed quietly.
If we are not a fit, we say so
If your plan does not work with us, or this is not the right level of care, we will tell you and point you toward something that fits.
How it works
Get started today.
01
Reach out
Call or fill out our online form. You talk to a real member of our team, not a bot. We’ll ask what’s been going on and what you’ve already tried.
02
Clinical assessment
Within a few days, a licensed clinician walks you through a full assessment by video, to determine whether we’re a fit for you.
03
Insurance and cost
We verify your benefits and tell you what you will actually owe before you commit to anything. No surprise balance later.
04
Start your group
You are placed in a cohort and meet your clinician before the first session, so you walk into a room where someone already knows your name.
Would rather just talk?
Some things are easier said out loud than typed into a form. Reach out and we will pick up.