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New Client Scheduling
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I am Interested In:
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Scheduling a Therapy Appointment
Scheduling a Medication Management Appointment
Name
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First
Last
Email
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Phone Number
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Your Preferred Contact Method
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Email
Phone
Is It OK to Leave a Message?
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Third Choice
Provider you would like to see
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No Preference
Amber Jurgensmeier LIMHP, LCSW, LADC
Andrea Degner LIMHP, LCSW
Betsy Mayfield LIMHP, LADC
Harsha Duggirala PLMHP
Jude Connelly LMHP, LCSW
Karen Gustafson LIMHP, NCC
Kristen Rosenberg LIMHP, LCSW
Lisa Dunlavy LIMHP, LCSW, PLADC
Marti Finkel LIMHP, LCSW, LADC
Michelle Wilhelm LIMHP, NCC
Monique Visocky LMHP, LCSW
Rebecka Brott LMHP, LCSW
Susan Walsh PLMHP, PCMSW
Bonnie Rothell APRN, PMHP
Jena McFadden DNP, APRN, PMHNP-BC
Which session would you like to book?
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Individual Therapy (Adult)
Child Therapy
Couples Therapy
Trauma Therapy (EMDR)
Family Therapy
Substance Abuse Evaluation and/or Therapy
Telehealth Therapy
Other
Type of Insurance
Aetna
BCBS
Cigna
Medicaid/Medicare
Midlands Choice
Tricare
UMR
United Health Care
Wellmark
Self-Pay
Choice 10
Days I am available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Hours I am available
Anytime
Mornings
Afternoons
Evenings
Comments or Questions
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