Schedule your Intake Assessment with Sarah… Name * First Name Last Name Email * Preferred Date * MM DD YYYY Time * Hour Minute Second AM PM Insurance * Aetna Anthem Blue Cross & Blue Shield Blue Cross & Blue Shield Blue Card PPO Capital Blue Cross Cigna Cigna PPO Highmark Blue Cross Blue Shield Community Blue PPO Midwest Health Plan Medicaid Optum Behavioral Health United Healthcare None Other What are 1 - 2 goals you would like to accomplish in therapy? * Thank you!
