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Have you been seen at CleanSlate before?
This helps us get you to the right place faster. It takes one tap, and either way, you'll reach a real person on our team.
I'm new to CleanSlate
Welcome. Request your first appointment online and our Patient Support team will call you to confirm a time, answer your questions, and complete your registration. This form is only for patients who have never been seen at a CleanSlate center before.
Most new patients are seen within 24 hours.
I'm a current patient or re-establishing care
To help us assist you as quickly as possible, if you are an established patient or haven’t been seen by CleanSlate in a while and are re-establishing care, please don’t use the New Patient Form, as this slows down your request. Our Patient Support team can reschedule, confirm appointments, or answer your questions right away.
Live chat (EST): Mon–Thu 8am–8pm · Fri 8am–5pm · Sat 8am–noon. If an agent isn’t available, leave your contact info and we’ll reach out.
Confidential·Most insurance accepted·65+ centers across 7 states
This form is for new patients who have never been seen at a CleanSlate center before.