This study examined the relationship of demographic, clinical, and therapist factors to decisions about prioritized assignment to the earliest intake appointment for 983 Asian Americans who contacted an Asian-oriented, ethnic-specific mental health program. The logistic regression results showed that Asian language preference, ethnicity, suicidality, violent behavior, physical and sexual abuse, and psychotic symptoms increased the likelihood of a prioritized decision for the earliest intake appointment but that being female, being of an older age, and having somatic complaints decreased the likelihood. Given these findings, Asian American clinicians at an ethnic-specific program were found to consider clinical, demographic, and ethnically related factors in prioritized decisions about intake assignment, which could improve intake attendance.