Skip to content
(877) 893-3842
New Clients Intake
Home
Our Treatments
Medication Management Services
About Us
Requirements
Provider
Resources
Menu
Home
Our Treatments
Medication Management Services
About Us
Requirements
Provider
Resources
Peniel Psychiatry currently only accepts cash paying patients.
Insurance coming soon
Enter your payment details
Name
Email
Phone Number
Here are you -
New
Existing Patient
Tell us why you’re looking for help today
I'm feeling anxious or panicky
I'm having difficulty in my relationship
A traumatic experience [pat or present]
I've been having trouble sleeping
I'm navigating addiction or difficulty with substance abuse
I'm feeling down or depressed
I'm dealing with stress at work or school
Something else
What gender to you identify with?
- Please Select -
Female
Male
Transgender female
Transgender male
Gender queer
Gender variant
Other
Non binary
What is your date of birth?
Additional message?
Payment Here:
Amount
Preview Entry Details
Submit