Appointment Request for Multiple Services

Here is some information that may be helpful before completing an appointment request:

• Intuition Wellness Center’s providers serve young people, ages birth to 25, and their caregivers.
• Some services may be billable to Blue Cross Blue Shield and Aetna insurances. You may also request a superbill. View Pricing Information.
• Availability is limited. Your flexibility with scheduling will improve the team's ability to serve you. The team responds to all medical service requests on the same day received during business hours. It may take 5-7 business days for the team to formulate a thoughtful response to your request for all other services.

The questionnaire below is required in order to determine Intuition Wellness Center’s ability to meet your needs for clinical and/or medical services. This form is not required for classes or events.

If you have questions, please call 520-333-3320.

If you are submitting a request for multiple people, please fill out a separate form for each.