Check Insurance CoverageWe can check your benefit details and provide an estimate for sessions. Name * If the client is a child, please provide the child's name. First Name Last Name Is the client a child? * Yes No Email * Phone (###) ### #### Type of therapy* * **This is not registration for an appointment, we just want to ensure that we give you a relevant quote to the type of services that you are seeking. Please note: we do not accept insurance for Neuropsychological Evaluations** Individual Therapy Couples Counceling Child Therapy Other (please specify) What is your budget? Message Client's Date of Birth * MM DD YYYY Is the client the primary subscriber or a dependent? Primary Subscriber Dependent Thank you!
