Plymouth Scheduling Request
Please fill out this form to get the scheduling process started for our Plymouth location! Our admin staff will contact you within 1 business day to complete your request.
First Name
Last Name
Age of client
Name of client if scheduling for a minor
Insurance Provider
Blue Cross Blue Shield (BCBS) we do not accept Blue Cross Complete Medicaid
Blue Care Network (BCN)
Aetna
Priority Health (We do not accept Medicaid plans)
UnitedHealthcare (We do not accept Medicaid plans)
Private Pay
Which therapist are you interested in scheduling with?
Chloe Nicholls (Accepts BCBS, Aetna, Priority Health, and Private Pay)
Isabella Andrew (Accepts BCBS, Aetna, Priority Health, and Private Pay)
Amanda Yats (Accepts BCBS, Aetna, Priority Health, and Private Pay)
Susie Stevenson (Accepts BCBS, BCN and Private Pay)
Kelsey Tappenden (Accepts BCBS, BCN, Aetna, UHC, Priority Health and Private Pay)
Lauren Ruttenberg (Accepts BCBS, Aetna, Priority Health, and Private Pay)
Joe Arocho (Accepts BCBS, BCN, Aetna, UHC, Priority Health, and Private Pay)
Ghazaleh Akbarian (Accepts BCBS, Aetna, Priority Health, and Private Pay)
Shannon Samuels (Accepts BCBS, BCN and Private Pay)
Hannah Bonenfant (Accepts BCBS, BCN, Aetna, Priority Health, and Private Pay)
Jennifer Seim-Andrew (Accepts BCBS, BCN, Aetna, Priority Health, and Private Pay)
What is the reason you are seeking therapy?
I prefer my sessions to be...
In-Person
Telehealth
No Preference
What day is best for appointments?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of day works best for you? (Mornings, afternoon, evenings)
Email
Phone Number
Preferred method of contact
Email
Phone
Submit