Skip to main content
Skip to footer
Consult Request Form
Ascension Psychiatry (Group 1)
View monthly schedule
Contact our support team
(346) 888-4204
On WEEKDAYS from 9AM to 6PM
(281) 984-4279
On WEEKENDS (FRIDAY 6PM to MONDAY 9AM) & WEEKDAYS (6PM to 9AM)
Facilities (Amita Psychiatry)
The doctor on schedule is
SUPPORT
Return Contact Phone Number
Ext.
Person requesting consult
Your email
We will send a tracking URL to this email for you to be able to see real-time updates for this consult.
Select your facility
- Select -
MERCY
MERCY CSU
RESURRECTION
ST FRANCIS
ST JOSEPHS
ST MARYS
SAMC
ABMC
Consult Type
Floor
ER
Phone
CSU
Is the interpreter required for this consultation?
YES
NO
No PHI (no name, MRN, room number etc)
60 characters maximum
Submit Patient Request