Appointment Inquiry Form

Reaching out for support often comes after a great deal of thought – and sometimes hesitation.

Completing this form does not commit you to therapy. It simply allows us to understand what you’re looking for and whether Progressing through Therapy may be an appropriate fit for you at this time.

You do not need to have everything figured out or know exactly what to say. This is simply a starting point.

Please complete the Appointment Inquiry Form below.

Before You Begin

Our operating & appointment hours are Sunday through Tuesday, 10:00 AM to 5:00 PM.

To allow us to contact you within 48 business hours, please complete the form in its entirety. Forms that are incomplete cannot be processed.

You will need the following information to complete the form:
• Full name
• Date of birth
• Telephone number that can receive calls and text messages
• Valid email address
• Insurance Carrier & Subscriber ID number

If you do not have this information available, we encourage you to return and complete the form when you are ready. This same information is required if you call the office for scheduling.

Important Insurance Information

We understand that navigating insurance can be frustrating, and we want to provide transparency before you invest time completing this form.

As a courtesy, Progressing through Therapy will make every effort to verify your benefits and obtain accurate information from your insurance carrier. However, verification of benefits is not a guarantee of payment. Coverage is determined by your insurance plan and is subject to all policy terms, limitations, and exclusions.

You are responsible for any fees not covered by your insurance plan.

At this time, Progressing through Therapy does not accept Medicaid or Medicare plans.

Consultations and Self-Pay Rates

Progressing through Therapy does not offer brief or free consultations. All appointments are scheduled as full 53-minute therapy sessions, allowing adequate time for meaningful assessment and support.

If you are not using insurance, the self-pay rate is $150 per 53-minute session.

Please review our Privacy Policy and Terms & Conditions before submitting this form.