Nu Leaf Mental Health Group Let’s get started! Name * First Name Last Name Email * Phone * (###) ### #### What services are you interested in? * Telemedicine Hybrid (Irvine, CA Location) In-Person (Irvine, CA Location) Program/School * Requested Clinical Start Date * MM DD YYYY Number of Hours Needed * Do You Have Active Student Malpractice Insurance * Yes No How did you hear about us? * Option 1 Option 2 Message * Thank you!Someone from our team will review your request shortly. Please allow 1-2 business days for a response via the email provided. If you have any additional questions, please email our team directly at info@nuleafmentalhealth.com