Intake Form


Please use the form below for in-person appointments as well as telehealth appointments. Telehealth is healthcare using secure phone or video conferencing. Telehealth visits can be billed to insurance or paid for using our sliding scale fees. Please complete the form below then click on “make an appointment” or call 454-1546 or text 838-6280 to speak with WeARE staff.

Intake Form

Please fill out the following form prior to your appointment.
Upon submission, you will be redirected to our appointment page,
where you can request an appointment. 

By filling out the form below, you acknowledge that you have read and understand
our HIPAA/Privacy form and our Telehealth Services policy.





The Clinic

424 James St. Ste 2, Brainerd, MN


Clinic Hours

Mon, Tue, Thur

Schedule Appt

Call: 218.454.1546
Text: 218.838.6280