Your Next Step

Request an Appointment.

Complete the appointment request form below. Our team at Arise Psychiatry in Fort Worth will contact you to discuss availability and appropriate next steps.

Appointment Details

Please complete the required fields below. An appointment is not confirmed until our practice contacts you.

Appointment form

First Name

Last Name

Email

Phone

Are You a New or Returning Patient?

New Patient

Returning Patient

Service You Are Interested In

Preferred Appointment Type

In-Person Appointment

Telepsychiatry (Virtual Appointment)

No Preference

Preferred Day

Preferred Time

Morning

Afternoon

No Preference

Best Way to Contact You

Phone Call

Email

General Questions (Optional)

Privacy Acknowledgment

I understand that submitting this form is an appointment request and does not confirm a booking. I consent to Arise Psychiatry contacting me regarding my inquiry using the contact information provided. I understand that this form is not intended for emergencies or sensitive medical information. I have reviewed the Privacy Policy.

This form is for appointment requests, not emergencies. Please do not include sensitive medical details. For general questions, call 682-302-0301. For immediate emergencies call 911; for mental health crisis support in the United States, call or text 988.