Your Gateway to Services

Name *

First Name

Last Name

Type of wellness service(s)

Therapy for an adult

Therapy for a child or teen

Therapy for a couple or family

Psychiatrist (medications)

Medical Services

Nutrition or diet

Spiritual guidance

Career Coaching

Chiropractic

Other

Insurance

Some clinicians are in-network with certain insurance panels, meaning, they will file paperwork on your behalf and get reimbursed directly from the insurance company. Many others are out-of-network, meaning you pay at time of service and they provide you with a superbill which you submit to your insurance company who then send the reimbursement check to you. Please indicate how important using in-network insurance is to you in your service choices.

Using my insurance is VERY important. I have to use in-network providers (indicate your plan below)

I am willing to see an out-of-network provider if they are a good fit

I am not sure. I would need to talk to someone more about this