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New Client Appointment Request (Virginia Clients Only)

Fill out the form below to request an appointment with one of our therapists. If you're an existing client, use our secure client portal.

Client Type
Adult
Minor
Couple
Why are you seeking care?
What day(s) would you prefer to meet with your therapist? Check all that apply.
What time(s) of day would you prefer to meet?
How do you plan to pay for care?
Insurance
Out-of-Pocket
How Did You Hear About Us?
Psychology Today
Therapy for Black Girls
Google
Insurance Directory
PCP Referral
Family / Friend Referral
Other

Contact Us

We're accepting new clients!

contactus@mymelaninwellness.com

 

(804) 589-5950​​

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6841 Forest Hill Ave, Richmond, VA 23255

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© 2025 Melanin Mental Health and Wellness, PLLC

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