Ann Arbor Scheduling Request
Please fill out this form to get the scheduling process started for our Ann Arbor location! Our admin staff will contact you within 1 business day to complete your request.
First Name
Last Name
Name of Client if Scheduling for a Minor
Age of Client
I prefer my sessions to be...
In-person
Telehealth (video therapy)
No preference
What appointment day/days work best for you?
Monday
Tuesday
Wednesday
Thursday
Friday
Requested appointment time (Morning, afternoon, evening)
Insurance Provider
Blue Cross Blue Shield (We do not accept Blue Cross Complete-Medicaid)
Blue Care Network
Aetna
Priority Health (We do not accept Medicaid plans)
UnitedHealthcare (We do not accept Medicaid plans)
Private Pay
Which therapist would you like to schedule with?
Mitchell Hession (Accepts BCBS, Aetna, Priority Health, and Private Pay)
Evonnia Evans (Accepts BCBS, Aetna, Priority Health, and Private Pay)
Anna Veenhuis (Accepts BCBS, Aetna, Priority Health, and Private Pay)
Marissa Keep (Accepts BCBS, Aetna, Priority Health, and Private Pay)
No Preference
What is the reason you are seeking therapy?
Phone Number
Email
Preferred Method of Contact
Phone
Email
Submit