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Submit a Consult Request Online

A few details to keep in mind prior to submitting your online request for a consult:

  • This secure online form takes 5–10 minutes to complete, depending on the complexity of the patient information.
  • You may submit the form anytime, but your consult will be returned during our business hours, 9 a.m. to 5 p.m. ET, Monday through Friday.
  • Submissions made after 4:00 p.m. ET on weekdays, on weekends, or on holidays will be addressed the next business day.
  • Upon receipt of your online consultation request, your regional Behavioral Health Consultant may contact you if additional information is required.
  • MC3 is not an emergency service. For immediate suicidal concerns, contact your local crisis services or nearest emergency department, or call the 988 Suicide & Crisis Lifeline.