New Client Application

Welcome! This is not a test. Once it is your turn on the waitlist you will receive an email with all the info you need to get started AND a link to schedule an optional FREE 20-Minute New Client Call to make extra extra sure I'm a good fit for what you're wanting and needing (or to further convince a reluctant spouse). 

Before you fill out the form, please consider the following:

  • Virtual and In-Person (St Louis, MO) Appointments Available
  • Hourly Rates: Take a moment to review my hourly rates. They may vary based on your specific needs. 
  • Insurance Coverage: Consider your insurance coverage and how it aligns with our services.

For more details, including a list of questions to ask your insurance company and a summary of my current rates, visit the FAQs section on my website: www.mikaross.com/faqs.

Once you submit the form, you’ll receive a confirmation email. If there’s a waitlist, the email will provide our best estimate of how long you might expect to wait. If you don't receive an email it may mean we're in your junk or spam folder, it is very important to move us to your inbox or you won't receive notification that you're off the waitlist. If we're not in your inbox at all, it may mean there was a typo in you email address entry on this form. 

Thank you for considering working with me, and I look forward to connecting with you soon! 🌟

Email *
Would you like to schedule a free 20-minute New Client Call before scheduling? OR if Mika reviews this form and believes you're a good fit...would you just like to receive info on how to get started and how to schedule your first appointment (faster)? *
First Name: *
Last Name: *
A good email address (pinky promise we won't spam you): *
Are you, or all parties considering counseling, over the age of 18? (I don't work with minors) *
Are you looking for individual counseling or couple counseling? Think about all the things you would like to improve...if they are mostly relational, or having to do with your partner, I usually suggest at least starting with couples counseling (if possible). *
In a nutshell, tell me what's happening and where you'd like to see improvement. *
What questions do you have for me that are not answered in the FAQs section at www.mikaross.com/faqs ?
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