Welcome to Inspire Recovery

Please Note
At Inspire Recovery, we take care to ensure that every client is matched with the right level of care. Submitting this request is the first step in our intake process. After we receive your request, we will send intake paperwork through SimplePractice for you to complete. This paperwork helps us determine whether Inspire Recovery is the best clinical fit for your needs before an appointment can be scheduled.

Submitting a request does not guarantee acceptance into our practice. If we determine that another provider may be a better fit, you will be notified by email and provided with referral options. These decisions are always made with your best interests in mind.

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First & Last Name (of person seeking therapy) *
Please check off all of your availability to meet with a therapist. 
 We currently have a waitlist for appointments after 4pm.
 *
Required
Are you a first responder and/or veteran? *
Required
Date of Birth *
MM
/
DD
/
YYYY
Best Contact Number *
Email Address *
If requesting therapy for a minor: Please provide their email. Both the adolescent and parent will receive their own questionnaires.
What type of insurance do you have? 
Below are the insurances we are currently INN with. 
 *
If you selected "Other", please list your insurance(s).
What are you interested in? 
*Check all that apply
 *
Required
Do you have a preference for appointments? *
Required
How did you hear about us? 
Or if you were referred to us, by who?
Submit
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