Consultation Request

Care at MoonPhase begins with a structured consultation request. Submissions are thoughtfully reviewed to determine clinical fit and scope prior to scheduling an initial evaluation.

MoonPhase is a boutique outpatient psychiatric practice designed for women seeking intentional, integrative care. It is not structured for urgent or crisis-level needs.

MoonPhase may be a strong fit for women navigating mood changes, anxiety, sleep disruption, cognitive shifts, or sexual health concerns in the context of mood/hormonal transition. The practice is not structured for crisis management, urgent medication refills, disability evaluations, or court-related documentation.

The Process

1. Submit the secure consultation request form.

2. Submissions are reviewed to determine alignment and scope.

3. If appropriate, you will receive an invitation to schedule a comprehensive initial evaluation.

4. If outside the scope of practice, referral options may be provided.

Secure Consultation Request

This form is intended for prospective patients seeking consultation.

Please provide only general information about your needs. Detailed medical history will be collected securely during intake