Secure online intake · Arizona & Oregon
Begin Your Care Journey
Share what you're looking for, and our team will reach out to confirm a next step that fits — Arizona or Oregon, telehealth or in‑person.
New-patient scheduling is subject to clinical fit, licensing, and availability.
Start Here
Complete our secure intake form and we'll reach out to confirm your appointment — Arizona or Oregon, telehealth or in‑person.
Billing or insurance questions? Call (503) 877-6663.
Arizona
In-Person & Telehealth
Phoenix-based care plus telehealth anywhere in Arizona.
📞 (480) 618-7023
Oregon
In-Person & Telehealth
Portland-based care plus telehealth anywhere in Oregon.
📞 (541) 581-1080
New Patient Intake Form — Headlight Mental Healthcare
🔒 Secured by Valant · HIPAA-Compliant
Having trouble with the form? Open it in a new tab →
Flexible Payment Options with CareCredit
CareCredit is available for eligible patients who prefer to pay over time. Terms vary by applicant and offer.
You're in the right place.
When you're ready, begin the secure intake. If you'd rather talk first, call Phoenix or Portland — we'll help.
New-patient scheduling is subject to clinical fit, licensing, and availability.
