New Patient Appointment Request Form

Support For Women, By Women

If you are unsure and would like to speak with someone who can help, either call (615) 478-6478 or send us a message through the contact form on our website. Currently we are providing care in Tennessee, Florida, Kentucky, Oregon, and Virginia.
Select the specialist you would like to work with:

Next Available ProviderLynn Wolf, CNM, PMHNP - TN, VA, ORKerrie Wilder, CNM, PMHNP - TN, FLLaura Pohl, CNM, PMHNP - TN, FL, KYStephanie Hubbell, CNM PMHNP - TN, FL, KY, OR
Kerri Wilder, CNM, PMHNP

Welcoming new patients in TENNESSEE & FLORIDA, including those who are self-pay, our subscription plan, or covered by Aetna, Cigna, Tricare, and BCBS insurance plans.
Laura Pohl, CNM, PMHNP

Welcoming new patients in TENNESSEE, KENTUCKY & FLORIDA, including those who are self-pay, our subscription plan, or covered by Aetna, Cigna, Tricare, and BCBS insurance plans.
Lynn Wolf, CNM, PMHNP

Welcoming new patients in TENNESSEE, OREGON & VIRGINIA who are self-pay, subscription, or covered by Aetna, Cigna, Tricare, and BCBS insurance plans.

Choose Your Path to Care

Select the payment option that works best for you. Whether you prefer self-pay or one of our subscription plans, we've designed flexible choices to support your wellness journey. Click to explore and decide what fits your needs.
Insurance - Use your insurance to cover your mental healthcare. Copays and deductibles apply.Self-Pay - Pay as you go for complete flexibility. $245 for the first visit and $135 for follow-up visits.Beyond Barriers Subscription - Our Most Empowering Option $199.00 for the first month then $99.00 per month. Includes 1 one-on-one telehealth visit with your Specialist each month if needed, messaging with your team, and priority scheduling. MORE EXCITING BENEFITS COMING IN 2025 - we are building all the things your mental health needs in one place!

You have selected to use your insurance coverage. Please agree to the following:*

I understand it is my responsibility to contact my insurance company to verify coverage for WMHS services. If telehealth mental health services are not covered, I agree to be responsible for the payment of services.
Which company are you insured with?*

AetnaCignaBCBSTricare
WMHS does NOT bill United Healthcare or Optum.

You may go back and select Self-Pay or Subscription as your payment option.

Additionally, we do not bill Medicare or Medicaid.

For more information and alternative solutions, please refer to our Insurance FAQs.

"Our practice is small but mighty. While we cannot fix or fight the health insurance system, we are dedicated to providing affordable alternatives and creative strategies to ensure women access the care they deserve but may not have found—until they met us. ~ Stephanie Hubbell, CNM, PMHNP, Founder of Women's Mental Health Specialists"

SPONSORS DATE OF BIRTH*

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Member ID #*
Please add your insurance Member ID #.
Group #:*
Please add the Group #.
Please include a copy of your insurance card. (Front and Back)*

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Are you the policy holder?*

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Full Name of the Policy Holder:*
Policy Holder Date of Birth:

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Relationship to the Policyholder::

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Do you have secondary insurance policy?*

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Member ID #*
Group Number*
Please include a copy of your secondary insurance card. (Front and Back)

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Support For Women, By Women