New Patient Forms
Behavioral Health Release of Information
Interested in learning more about WellMed? We are happy to help. Please contact our Patient Advocate team today.
Call: 1-888-781-WELL (9355)
Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information.
Representatives are available Monday through Friday, 8:00am to 5:00pm CST.
"*" indicates required fields