New Client Request Form
This is a request is you are looking for psychotherapy treatment. It is important to make sure we are a good fit to work together. After this request I will set up a free 15 minute consultation.  If I feel clinically someone else would be of better service to help you on your healing journey I will direct you in the right direction.

Current therapists

Samantha Alzate  LCSW 
Availability: not accepting new clients 
Schedule:  Tuesday- Thursday 8-2 Telehealth and In-Person
Insurance Accepted: Husky, Anthem BCBS, Optum, Connecticare & Aetna 

Lauryn Wille LMSW 
Availability:  Waitlist 
Schedule: Tuesdays and Thursdays 5-8
Insurance Accepted:  Anthem, Husky, BCBS, & cigna 

Erica Teti LMSW 
AvailabilityWait list
Schedule: Mondays (in person) and Thursdays (virtual) 4-8
Insurance Accepted: Currently accepting husky insurance  & Aetna and sliding scale

Cristina Decosta LCSW
Availability:  wait list
Insurance Accepted: Currently accepting  BCBS, Aetna, Husky, out of pocket & out of network

Shannon Macca LMSW 
Availability:  Immediate opening
Schedule:  Tuesday 9-4 pm Wednesday 9-5 pm Fridays 9-2 
Insurance Accepted: Currently accepting   Aetna, Anthem, Husky, & out of pocket 

Stephanie Thibault  LMSW
Availability:  **Immediate opening Telehealth only**
Schedule:  Mondays, Wednesday, Thursday, Friday 8:30-3:30
Insurance Accepted: Currently accepting   Aetna, Husky, Anthem, Cigna & out of pocket 

Kelsy Prucker LPA-A 
Availability:   Immediate openings 
Schedule:  Mondays, Tuesdays, Wednesday 9-5
Insurance Accepted: Currently accepting   Aetna, Husky, Anthem, Cigna & out of pocket 

Brittney LaBonte LPC 
Availability:   Immediate openings 
Schedule:  Friday & Saturday 10-7
Insurance Accepted: Currently accepting   Aetna, Husky, Anthem, Cigna & out of pocket 

Christa Roberts Reiki Practitioner
Schedule: Day time Mondays, Thursdays & Weekends 
Insurance does not reimburse for Reiki Session
 $60.00 for first time sessions $80.00 for regular sessions 
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Name *
Date of Birth 
Email Address 
What is your current schedule like? When do you see yourself being able to make appointments?
Do you have a specific therapist you would like to see? 
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What state do your currently reside in?
Phone Number
Brief history of treatment
Referral Source, How did you find out about us?
Are you looking for...
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Briefly explain what you are looking for in a therapist and what you hope to get out of therapy
Are you planning on paying out of pocket or insurance?
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If you are planning on using insurance what current insurance do you have?
Insurance ID number
Are you willing to be put on a wait list if needed?
Clear selection
Anything else you would like us to know?
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