Mind Matters Collective, LLC Send Message

Who would be receiving care?

Your info

Select the state you live in
(If different from your legal name)
Reason for care
Select any that apply
This helps us know whether to offer a Release of Information (ROI) if you would like your MMC provider to coordinate care with your external provider.
Administrative
Billing & Payment
Please indicate your anticipated method of payment
(If applicable — Aetna, Blue Cross Blue Shield (BCBS), Health Partners (HP), Hennepin Health, Medica, Minnesota Medical Assistance (MA), One Health, UCare, United Behavioral Health (UBH), etc.)
Limited to 600 characters
Client Preferences
(Any added context, focus areas, or practical questions, etc)
Limited to 600 characters

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.