Contact Me: Name * First Name Last Name Email * Phone * (###) ### #### Preferred Contact Method Text Call Email Message * (Let me know a little bit about what you are looking for in therapy or why you are interested in therapy services at this time) Current Insurance Provider? * Who is your current insurance provider? Avera Sanford BCBS/Wellmark Medicaid Other/Cash Pay How did you hear about me? * Thank you!
