Request An Appointment

Our Intake coordinator will be in contact with you within 24 hours regarding your appointment request.

Name

First Name

Last Name

Email

Phone

(###)

###

####

WHAT BRINGS YOU HERE TODAY?

DAYS AND TIMES YOU ARE AVAILABLE?

PLEASE PROVIDE US WITH YOUR INSURANCE INFORMATION SO THAT WE CAN VERIFY IT FOR YOU.

BE SURE TO INCLUDE YOUR INSURANCE NAME AND MEMBER ID

DO YOU PREFER AN IN PERSON SESSION OR TELEHEALTH?

DO YOU HAVE A SPECIFIC THERAPIST IN MIND?

IF IN PERSON WHICH LOCATION WOULD YOU LIKE?

If you are looking for telehealth visits only you do not need to answer

Pittsburgh

Somerset