Become a new client
If you are interested in becoming a new client, please complete the following forms and email back to email@example.com, with picture of your ID and front and back pictures of your insurance cards. Or fax to, 888-972-1662.
For adolescents 12+ also complete this form
Due to the recent health concerns related to the coronavirus (COVID-19), we are offering live Telehealth video sessions through an online, HIPAA-compliant platform, Doxy. Please review our Informed Consent for Telehealth Services.
It is important that you reach out to your health insurance provider to make sure telehealth services are covered. In the event that insurance does not cover telehealth, the individual wishes to pay out-of-pocket, or when there is no insurance coverage, a prompt pay discount is available. We will provide you with a statement of service to submit to your insurance company if you wish. Information regarding the prompt pay discount is $65-hr, paid before services rendered.
Call us with any questions and to schedule an appointment, 330-220-9679