Schedule an Appointment

To schedule an appointment with one of our providers, please call us at 262-825-5820 or email the following information to

Personal Information

  • Type of service being requested (Therapy, Assessment)
  • Name of person being referred
  • Date of birth of person being referred
  • Purpose of visit (signs, symptoms, behaviors)
  • Address and phone number
  • Preferred appointment (day/time)
  • Referral source (How did you hear about us?)

Insurance Information

  • Name of insurance company
  • Subscriber’s name
  • Subscriber’s date of birth
  • Member ID
  • Group ID (if applicable)
  • Provider telephone number
  • Claims address

All information provided will be kept confidential.



150 N. Sunnyslope Rd.

Suite 372

Brookfield WI, 53005


Phone: 414-302-1233

Referral Line: 262-825-5820

Fax: 262-788-9662