Submit a request

Please choose a request type below

Your email address

Subject

What can we help you with?

Which part of the Spring Health experience are you reporting an issue with?(optional)

What account access issues are you experiencing?(optional)

What scheduling and availability issues are you experiencing?(optional)

What Compass note issues are you experiencing?(optional)

What invoice issues are you experiencing?(optional)

I have an Appointment Reference Number(optional)

Appointment Reference Number(optional)

The number is located in your invoice. Each line item has a 3-dot button on the right. Clicking that will reveal the reference number.

What type of Care Delivery issue can we help you with? (optional)

What can we help you with regarding your caseload?(optional)

What can we help you with regarding measurement based care at Spring Health?(optional)

Please describe which changes to your profile you'd like to make.(optional)

Please upload your desired profile photo to the attachments field and check this box once complete.(optional)

If you'd like to update your bio, please review our bio guidelines at the link provided and enter your bio below.(optional)

Visit the following link for Bio Guidelines: https://acrobat.adobe.com/id/urn:aaid:sc:VA6C2:ef4fbac0-11b7-43f6-967a-63a99f240146

After reviewing the available options linked below, please list any additional Treatment Modalities, Specialties, and/or Conditions that you would like to add to your profile.

Services Updates (for example modifications to conditions, age groups, in person services). See full list of available options at the following link: https://acrobat.adobe.com/id/urn:aaid:sc:VA6C2:09a98861-1a2b-4bc5-b400-7f6c55205dd5

Would you like to remove any existing tags on your profile? Please list below.

Services Updates (for example modifications to conditions, age groups, in person services). See full list of available options at the following link: https://acrobat.adobe.com/id/urn:aaid:sc:VA6C2:09a98861-1a2b-4bc5-b400-7f6c55205dd5

How can we help you with your pay?(optional)

What type of Member Support is needed?(optional)

How can we help you with credentialing or your licensure?(optional)

What state is this license for?(optional)

What is the license type?(optional)

Clinical license must be an independent license. If this is a telehealth license, please specify.

Please provide the license number.(optional)

Do you wish to add any additional licenses? If so, please include the complete license title, number, and state.(optional)

Reason for Removal?(optional)

Effective Date:(optional)

Please confirm that you have uploaded any government identification reflecting this update (if applicable).(optional)

Please specify the update (i.e. legal name change).(optional)

Note: We can only process updates that have been approved through the state

What would you like to discuss live?(optional)

Please note, meetings for urgent clinical issues or care blocking concerns should not be requested. If you need urgent support for a client, please reach out to the crisis line.

Tell us what type of live support you are most interested in?(optional)

How can we help you with the Spring Health Community?(optional)

How can we help you with Pilots or Beta Testing Programs?(optional)

How can we help you with your Spring Health Onboarding?(optional)

Patient Initials(optional)

Please enter the Patient's Date of Birth:(optional)

Please enter the Date of Appointment:(optional)

Start Time of Appointment(optional)

(include time zone)

Incident Report Date

Report Type

This incident occurred:

Please provide the location/address, if applicable:(optional)

Name of Reporter

Compass Link

Appointment Date(optional)

Incident Date

Incident Time

Details of the incident/injuries

Any Witnesses:

Witness statements, if available (Do not include PHI):(optional)

Actions Taken:(optional)

Please note what other actions were taken:(optional)

Description

Attachments(optional)

Add file or drop files here