Intake Form

We are here to listen and support you in achieving better mental health. Please fill out the following information to begin your journey!

We begin by discussing your specific mental health needs and goals to ensure we provide the most relevant information.

Our team evaluates your situation to determine the best pathway for peer support and other mental health services.

We connect you with the resources and professionals that are best equipped to assist with your specific needs.

Once matched, you begin your journey with a dedicated peer support specialist to achieve your personal goals and improve your mental health.

Surry County Mental Health Associates