Request an appointment:
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Which therapist would you like to work with?
*
Please Select
First Available
Dr. Wolf
Amy Willis
Bruce Johnson
Todd Shook
Michele Meyers
Dr. Kerr
Sarah White
Kaci Girard
Note: Some therapists may not be accepting clients at this time.
If the therapist above is not available, would you be willing to work with another therapist?
*
Yes
No
Please list any strong preferences or aversions you have when looking for a therapist (i.e., gender, age, religion, etc.)
This is to appropriately match you with a therapist who fits your needs.
Who is your insurance provider?
*
Please Select
AETNA
Blue Care Network
Blue Cross Blue Shield
Blue Cross Complete
Medicare
Meridian
Molina
Optum Behavioral Health
Priority Health
Tricare
UHC
None (Private Pay)
The above insurances are accepted by at least one clinician at Wolf Psychological Services.
Please include a brief description of your presenting problems:
*
Please list a few identities or terms that you feel describe you:
*
There are no wrong answers! This is just to get to know who you are and what matters to you.
Where did you hear about Wolf Psychological Services?
Submit
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