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Contact Us
How to schedule
Please complete the appointment screening form below and we will call you to schedule.
NOTE: Please fill out all items, if this screening is incomplete you will not be called to be scheduled. We thank you for helping us to help you!
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An intake packet will be sent to you once you are scheduled with us!
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This information is kept strictly confidential according to HIPAA guidelines and helps us to get you scheduled as quickly as possible.
Appointment Screening Form
![cigna.png](https://static.wixstatic.com/media/f42e39_8b1e1c36597344758efa95bf96061086~mv2.png/v1/fill/w_85,h_30,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_avif,quality_auto/cigna.png)
![optum.png](https://static.wixstatic.com/media/f42e39_40c34b30070f45b1897f9a2936b3f6f5~mv2.png/v1/fill/w_126,h_66,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_avif,quality_auto/optum.png)
![aetna.png](https://static.wixstatic.com/media/f42e39_c215eaabb05b4bb6bd43c1be18cfff0b~mv2.png/v1/fill/w_76,h_20,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_avif,quality_auto/aetna.png)
![compsych.png](https://static.wixstatic.com/media/f42e39_67e5cc6b31cf43f7ba4e95b1a19d20b1~mv2.png/v1/fill/w_110,h_25,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_avif,quality_auto/compsych.png)
![anthem.png](https://static.wixstatic.com/media/f42e39_75d576387b114a4f91ea06af10741030~mv2.png/v1/fill/w_128,h_20,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_avif,quality_auto/anthem.png)
![Kaiser-Logo.png](https://static.wixstatic.com/media/f42e39_2038f422b1ec47e99fe6bc6d28c05c87~mv2.png/v1/fill/w_134,h_47,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_avif,quality_auto/Kaiser-Logo.png)
![medicaid.png](https://static.wixstatic.com/media/f42e39_7c03d7eab13d42c9adeefbb5511ed215~mv2.png/v1/fill/w_126,h_30,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_avif,quality_auto/medicaid.png)
![oscar.png](https://static.wixstatic.com/media/f42e39_e1bf9428df0a4477b3b30ebd723b4c7b~mv2.png/v1/fill/w_90,h_20,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_avif,quality_auto/oscar.png)
![](https://static.wixstatic.com/media/f42e39_1ad441c1fee94b018c6f2c1004900e45~mv2.png/v1/fill/w_119,h_47,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_avif,quality_auto/f42e39_1ad441c1fee94b018c6f2c1004900e45~mv2.png)
![UCH_Logo.png](https://static.wixstatic.com/media/f42e39_2892bc60f5fc4d839efcf65a415062ae~mv2.png/v1/fill/w_114,h_25,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_avif,quality_auto/UCH_Logo.png)
![united-hc.png](https://static.wixstatic.com/media/f42e39_5d4151f1f769412eaac8fd7fa5d1ebff~mv2.png/v1/fill/w_134,h_30,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_avif,quality_auto/united-hc.png)
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