Skip to content

CALL US: 940-448-0304
FAX: 940-301-3803
1400 N Corinth St Suite 109, Corinth TX, 76208
Counselors accepting Evernorth, Cigna, Aetna, BCBS PPO

Our Counselors
Services
Resources
Testing
FAQ
Contact Us

Telepsychiatry / Teletherapy Consent

[jotform id=”200938084605052″]

Schedule your appointment today.

Fill out and submit the form below and our staff will contact you during regular business hours.
We offer tele, video or in person appointments at our Corinth office.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Phone *

Email *

Insurance Type

Enter CASH if paying cash

Treatment Type *

Notes/Comments

Comment

We do not share client information. We strive to keep information confidential and secure to the best of our abilities. Discretion is advised.

*We are not a 24hr crisis center.*
In case of emergency, please call 911 or see your nearest hospital.

iChange is open on an appointment basis only. We look forward to communicating with you in the next 24-48 business hours. If you do not receive a call or email within that time, please call iChange directly at
940-448-0304.

Copyright iChangeTX.com