Book an Appointment — Maxgio Healthcare LLC

Service

Schedule

Your Info

Insurance

Review

Step 1 of 5

What can we help you with?

Select the service that best describes the reason for your visit.

Diagnosis & Evaluation

Comprehensive psychiatric assessment for ADHD, depression, anxiety, bipolar, PTSD & more.

Supportive Therapy

CBT, solution-focused & client-centered sessions to build coping skills and resilience.

Medication Management

Ongoing monitoring, prescription, and adjustments of psychiatric medications.

TeleCare / Telehealth

Secure video appointments from the comfort of your home — available across VA, WA & ND.

Substance Abuse Counseling

Evidence-based counseling to support recovery and build long-term stability.

Geriatric Psychiatry

Specialized mental health care tailored to the unique needs of older adults.

Step 2 of 5

Choose Your Visit Type & Date

Select how you'd like to meet and your preferred appointment date and time.

🏥

In-Person Visit

411 Branchway Rd, North Chesterfield, VA

💻

Telehealth (Video)

Secure video call from anywhere in VA, WA or ND

Preferred Date *

Mon–Fri: 9am–4pm | Sat: 9am–1pm

Preferred Time *

Alternate Date (Optional)

We'll try your first choice and contact you if unavailable.

Step 3 of 5

Your Personal Information

Please provide your contact details so we can confirm your appointment.

First Name *

Last Name *

Date of Birth *

Gender

Email Address *

Phone Number *

Is this a new or returning patient? *

Emergency Contact Name

Emergency Contact Phone

Relationship

Reason for Visit / Chief Complaint

Step 4 of 5

Insurance & Coverage

Select your insurance plan. Self-pay is also welcome.

Select Your Insurance Plan *

Medicaid

Medicare

Anthem BCBS

Aetna

United Healthcare

Cigna

Optima Health

Tricare

Self-Pay

Other / Not Listed

I consent to Maxgio Healthcare LLC collecting and using my information for treatment purposes in accordance with HIPAA privacy regulations.

I agree to be contacted via phone or email to confirm and discuss my appointment details.

I confirm that I am 18 years of age or older, or that I am the legal guardian submitting on behalf of a minor.

Step 5 of 5

Review Your Appointment

Please check everything below before submitting.

Service Edit

Service—

Visit Type—

Schedule Edit

Preferred Date—

Preferred Time—

Patient Info Edit

Name—

Date of Birth—

Email—

Phone—

Patient Type—

Insurance Edit

Insurance Plan—

After submitting, our team will review your request and contact you within one business day to confirm your appointment time. This form does not guarantee a specific slot.

Appointment Request Sent!

Thank you for booking with Maxgio Healthcare LLC. Our team will review your request and contact you within one business day to confirm your appointment.

Ref: MXG-000000

A confirmation summary has been sent to your email address.

Back to Home Patient Portal

Prefer to Book Online?

Open Patient Portal

or call us directly

Phone

+1 (804) 901-0053

Fax

(804) 509-0514

Email

maxgiohealth@gmail.com

Book Your Appointment

HIPAA Compliant

In-Person & Telehealth

Insurance Accepted

Quick Response