How do you plan to pay?
Please note that I do not accept Medicaid plans and I cannot accept out of pocket payments from Medicaid beneficiaries. Please upload your insurance card so I can verify that I am in network with your plan. Folks often don't realize their plan is Medicaid or a commercial plan with a mental health "carve out" that I'm not in network with.
Enter your insurance plan company, member ID, phone numbers for provider services and/or behavior health services, and your date of birth (required to access any information about you). Or enter "NA" if you're not providing this information.
Limited to 600 characters
If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.