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Mindly Health | New Client Intake Form  

Welcome to Mindly Health. This form helps us understand your concerns and connect you with the most appropriate mental health support.

This form is not for emergencies. If you are in immediate danger, unable to stay safe, severely intoxicated, experiencing a medical emergency, or at immediate risk of harming yourself or someone else, please go to the nearest emergency department or contact local emergency services right away.

Let’s start evidence-based mental health care right here.
Help our NIMHANS-trained team understand your concerns so we can provide science-backed, culturally sensitive care in 11 regional languages, designed for every Indian family.

Your information will be reviewed confidentially, but if there is a serious and immediate safety concern, appropriate steps may be taken to protect you or others.
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