Request an Appointment

To schedule an appointment, please call 952-835-2002 or complete the form below. An MHS representative will follow up shortly to schedule an appointment.

Client's First & Last Name: *

Client Being Referred By: *

 Self

 Other (please list their name):

Date of Birth: *

Client's Phone Number: *

Best Time to Call:

 No preference

 8AM- 12PM

 12PM- 3PM

 3PM- 6PM

Are you a returning client? *

 Yes

 No