Becoming a New Client


Please fill out the form below to get started. We will be in contact after your form has been submitted.

For a list of insurance companies we are in-network with, click here. Prior to becoming a new client, we require copies of your insurance card, front and back; these copies are requested below. If you are looking for the form to become a cash-pay client and do not plan to bill health insurance, please click here.

After completing this form, please keep an eye on your email for follow-up information about beginning our therapy process. You will be invited to create a client portal account as an early step in the new client process.

We encourage you to contact your insurance company to verify your coverage and determine what out-of-pocket costs you will be responsible for.