Start Counseling or Medication Care

Tell us a little about what you’re looking for and our team will match you with a counselor or nurse practitioner. We offer in-person care in North Idaho and telehealth throughout the state.

Tell us how we can help

Thank you. Your information has been sent. Our intake team will follow up by phone or email, usually within 1–2 business days.

What type of care are you seeking?

Name

Phone number

Email address

Date of birth

Insurance

Are you open to telehealth (video sessions)?

Preferred in-person office (if applicable)

You can choose more than one. Telehealth is available anywhere in Idaho.

Coeur d’Alene Ponderay Priest River Oldtown Telehealth only

Coeur d’Alene Ponderay Telehealth only

Counseling details

What type of counseling are you seeking?

Medication management details

Have you received a mental health diagnosis before?

Are you currently taking any psychiatric medication?

Are you interested in a psychiatric evaluation?

Are you interested in ongoing medication management?

If you’re not sure yet

Are you open to discussing medication options if your provider recommends it?

Briefly describe what you’re hoping to work on

Before you submit I understand this form is not for emergencies and does not guarantee services. I consent to MWRS contacting me by phone or email regarding this inquiry.

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Mental Wellness & Relationship Services

1110 W Park Place, Ste 303
Coeur d’Alene, ID 83814

P: 208.261.2255 F: 208.473.7271