TREATMENT INQUIRY



Name


Email


 Phone


Presenting Issue(s)


Preferred Therapist


Preferred Day(s)/Time(s)


Additional Info




SendSend




PAYMENT OPTIONS



Insurance Participation


-Blue Cross Blue Shield of Michigan

-Blue Care Network

-McLaren Commercial

-McLaren Medicaid

-Meridian Medicaid

-Medicaid

-Blue Cross Complete

-ASR

-Multiplan

-Cigna 


 

Self-Pay 


-Self-Pay on Sliding Scale based upon

demonstrable income (please inquire for details)

-VISA

-MasterCard

-Discover

-Cash

-Check

-HSA