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To schedule an appointment, please call us at
800.693.1916
Or simply fill out the form below.
Schedule an Appointment
Call
(800) 693-1916
for immediate assistance or fill out the form below.
Insurance Accepted
Night & Weekend Appointments
Flexible Payment Plans
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Client ID
Your name
*
Phone number
*
Your email
*
What state are you located in?
*
— Select a State —
Michigan
Illinois
Most convenient location?
*
-- Select a Location --
No Preference
Clarkston
Clinton Township
Dearborn
Grand Blanc
Livonia
Novi
Okemos
Roseville
Shelby Township
Southfield
Southgate
Sterling Heights
Troy
Most convenient location?
*
-- Select a Location --
No Preference
Schaumburg
Naperville
Do you prefer phone or email?
Phone
Email
Can we leave a message?
Yes
No
Preferred Specialty
No Preference
Individual Therapy
Couples Counseling
Family Therapy
Depression
Anxiety
Parenting
Child / Adolescent
ADD / ADHD
Trauma / Abuse / PTSD
Bereavement / Grief
Substance Abuse / Addictions
Eating Disorders
Stress
Psychological Assessment
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Other
When are you available for appointments?
*
Mornings
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Insurance Provider
*
--
Aetna
Beacon Health Options
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HAP
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Humana Military (Tricare East)
McLaren
Medicaid
Medicare
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United Behavioral Health
Other Insurance
Other / Cash
Insurance Provider
*
--
Aetna
Beacon Health Options
Blue Cross Blue Shield
Cigna
Cofinity
Humana
Humana Military (Tricare East)
McLaren
Medicaid
Medicare
United Behavioral Health
Other Insurance
Other / Cash
Insurance ID (Optional)
Insurance ID
*
Insurance Provider
*
Selected Medicaid
Patient Date of Birth
MM
DD
YYYY
Any additional information?
We also offer Online Therapy. Would you be interested in learning more?
Yes
May we send you promotional emails and updates?
Yes
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