Schedule Your Child's Assessment+

Charis Behavioral Health offers a complimentary assessment to determine the appropriate level of care and treatment options for your child. This initial meeting also allows families to learn more about our team and the services we provide. Assessments can be scheduled within 24 hours of contacting us, so please don’t hesitate to contact us today!

Your Information

Are You a Parent or a Professional?(Required)

Your Name(Required)

Your Phone Number(Required)

Your Email Address(Required)

Child's Information

Child's Name(Required)

Child's Date of Birth(Required)

Message(Required)

Your Insurance Information

Insurance Provider (Company Name)

Insurance Policy Holder's First Name

Insurance Policy Holder's Last Name

Insurance Policy Holder's Date of Birth

Insurance Group Number (#)

Insurance ID Number (#)

Insurance Provider Phone Number