Form Center

2. If you have a life-threatening emergency, call 911 or go to the nearest emergency room.

   For mental health emergencies and crises, call 757-548-7000. This service is available 24 hours a day.

   If you need to cancel or reschedule an appointment, call 757-819-6104.

   For general information about services, call 757-547-9334 Monday through Friday, 8 am to 5 pm.

   For questions regarding your ongoing treatment, call your therapist / case manager at 757-547-9334.

   For questions about your bill call 757-547-9334.

   If you are required to fax us information, visit our list of frequently requested fax numbers. 

   If you still want to email us, be aware that internet emails to and from Chesapeake Integrated Behavioral Healthcare (CIBH) are not encrypted or on a secure network. We cannot guarantee your message will remain private and confidential. If you need to share protected health information (things like your name, address, or diagnosis) we prefer that you call us to better ensure your privacy and confidentiality.

   We will not use email to respond to questions that involve personal health information. We will use email to answer general questions and to provide links to more information.

   If after reading this notice you decide you want to email us, please include a phone number where we can reach you. Allow 24 to 48 hours for a response. For matters that need a quicker response, please call one of the numbers listed above.

   If your message includes personal health information, CIBH assumes that you grant us permission to share the information with other city staff as needed to respond to your request.

4. Your Name*
5. Subject*
7. Phone Number*
8. Email Address
10. How may we help you today?*
Leave This Blank:


12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit

* indicates a required field