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Rise Counseling Group Appointment Request
We just need a little bit of info from you and we will be in touch shortly!
17Questions
  • 1
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  • 2
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  • 3
    Pick a Date
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  • 4
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  • 5
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  • 6
    What is bringing you in?
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  • 7
    • Individual Therapy
    • Group Therapy
    • Family Therapy
    • Couples Therapy
    • Immigration Evaluation
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  • 8
    This may include divorce, custody issues, children services involvement, mandated treatment
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  • 9
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  • 10
    While we will do our best, there is no guarantee of assignment to this clinician.
    • Despina Costandinidis, LISW
    • Kelly Browning, LSW
    • Karen Micka, LPCC
    • No preference
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  • 11
    • Aetna
    • Anthem BCBS
    • CareSource
    • Medical Mutual
    • TriCare
    • United Healthcare/ UMR
    • Other
    • Impact EAP
    • TriHealth EAP
    • Ceridian/Lifeworks EAP
    • Reach EAP
    • Health Advocate EAP
    • No insurance/ private pay
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  • 12
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  • 13
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  • 14
    • Self
    • Spouse
    • Child
    • Other
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  • 15
    There is no guarantee your preference is currently available, but we will try to accommodate your preference.
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  • 16
    There is no guarantee your preference is currently available, but we will try to accommodate your preference.
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  • 17
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