Accepted Insurance:

Blue Cross Blue Shield, Blue Care Network, Blue Cross Complete, United Health Care, Aetna, Priority Health, Priority Health Medicaid, Cigna, Meridian, McLaren, Molina, Humana, ASR

Accepted by our Limited Licensed Therapists:

Straight Medicaid, Meridian Medicaid, McLaren Medicaid, Molina Medicaid, Aetna, ASR, BCBS, Blue Cross Complete Medicaid, Priority Health, PH Medicaid

Name

First Name

Last Name

Email Address

Phone

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If minor/teen, please enter the name

First Name

Last Name

Please indicate which you'd prefer

In Person

Telehealth

Please indicate which time of day you'd prefer

Daytime

Evening

Flexible

Preferred Therapist

How may we help?

Please provide a brief overview of what brings you to therapy.

Please indicate your insurance carrier and contract ID number if you have it. This helps us be more efficient. If you do not have insurance, please indicate in the field below.

Cancellation Policy: To avoid a $50 fee, notify us at least 24 hours prior to your appointment to cancel or reschedule.