Request a Session Name * First Last * Last Phone * Email * Which therapist do you prefer to meet with? (We will check their availability and, if availabile, they'll contact you directly.) * No preferenceMarianne Redmond LopezSidney BohanenTojyanna CaldwellKaren PoindexterTatiana AubreyCharles RoseRiley MaxBrandie SmithTiffany AlvordElizabeth Matteson Which therapist do you prefer to meet with? (We will check their availability and, if availabile, they'll contact you directly.) Please select a second choice. (We will check their availability and, if availabile, they'll contact you directly.) * No preferenceSidney BohanenMarianne Redmond LopezKaren PoindexterTojyanna CaldwellCharles RoseRiley MaxBrandie SmithElizabeth MattesonTiffany Alvord Which dates/times work best for your first appointment? Please specify two, a first and a second option. * If you will be using insurance, which plan do you have? * AetnaBlue Cross Blue ShieldPriority HealthCignaUHC/OptumOtherI won't be using insurance. I'd like to do private pay. If you responded 'other' above, please specify. Otherwise type 'N/A' here. We will check your out-of-network benefits for you. * Please briefly describe what you are seeking therapy services. * If you are human, leave this field blank. Next
