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Health Insurance Contact Form

Note: I am not providing Marriage/Couples Counseling at this time.  I only provide Individual Counseling to Adults 18 yrs and up.  
***If you have not received confirmation that this form was received by email within 3-5 business days please resubmit the form as it likely was not received***

What state are you located in?
Virginia
North Carolina
Other

Counselor is only licensed to provide Telehealth Services in Virginia and North Carolina. You must be in one of these states during the time of session in order to receive services.

Do you have an active Medicare Policy?
Yes
No
Do you have an active Medicaid Policy?
Yes
No

Counselor does not accept NC Medicaid

Current appointment times are Monday, Wednesday, and Thursday 10:00 am-5:15 pm. I am closed Tuesday, Friday, Saturday, and Sunday.

Example: Anxiety, Depression, Grief/Loss, etc.

Please be aware that all counseling sessions are by Telehealth Only. You will need access to the Internet, your own phone for counselor to get in touch with you in case of technical difficulties during the session, and your own email address where you can receive appointment reminders and document requests. Please be aware that not all issues/problems are appropriate for Telehealth counseling sessions. If at any time counselor feels you would benefit more from In-Person Counseling sessions you will be given a list of other providers in your area.

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