Appointment Forms

Prepare for your session

Intake Forms

Please download the forms and complete prior to your first session. It will take approximately 45 minutes to complete.

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What To Expect

Your First Appointment

After you have filled out the intake forms and schedule a first time appointment, we will be verifying your insurance coverage. This verification process is quick and easy and also avoids any confusion over coverage. This can be done over the phone.

At your first appointment, we will be gathering information as to best assess your needs. Expect to be at this first appointment for about an hour and a half.

We accept most major insurances. *Sorry, we are NOT a Medicaid provider.  Please contact (734) 785-7711 for a provider within the Detroit-Wayne County Mental Health Authority community mental health system of care.

Don't Have Insurance?

We are here to help. We do offer a discounted rate for those who do not have mental health coverage. Please contact our office for rates. Intake forms can be completed through a client portal sent directly from our office, mailed to 1 Heritage Place, Suite 261, Southgate, Michigan 48195 or faxed to (734)785-8328.

Take the first step to improving your mental health.

Take the first step to improving your mental health.

Professional Associations

Wellness Counseling

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