New Patient Request
Welcome to the Helix Center! Are you interested in learning more about our therapy services or customized teen outpatient treatment program? Let’s chat!
Let’s Get Started
Please fill out this form to tell us a little more about yourself or your teen. After we review your information, we’ll be in touch to discuss next steps. We’re looking forward to connecting!
New to Helix? We want you to know that we take your privacy seriously — always!
Thank you for your interest in the Helix Center! Please be assured that Helix strictly follows all HIPAA rules and regulations. Any information submitted in this form will be used solely to assess potential placement in our program and to contact you directly in response. We do not use the information submitted here for anything else. You can view our entire Privacy Policy here.
We are required by law to state the following: By providing my phone number and opting in to receiving text messages from Helix Center, I agree and acknowledge that Helix may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying “STOP”. For more information on how your data will be handled please visit our entire privacy policy.
No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.