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Counseling Session Interaction

Book An Appointment

Please complete the intake form bellow and a coordinator will reach out to you by the next business day to help you get started.
Can we leave a message?
Yes
No
Birthday
Month
Day
Year
Type of Counseling
Do you plan to use insurance? We currently acceptAetna, UnitedHealthcare, Cigna and Optum Care Network.
Which days of the week do you prefer? (select all that apply)
Time of day you prefer? (select all that apply)
Preference for male or female therapist?
Male
Female
Either
Preference for In-Person or Telehealth?
In-Person
Telehealth
No preference
If you would like to be seen sooner, we can offer services from our practicum trainees or master's level associates under the supervision of a licensed therapist. Are you okay to be seen by an associate or trainee?

Thank you for taking the time to fill out this form. We appreciate you reaching out to us. We look forward to supporting you.

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