Your name
Your pronouns
Your phone number
Your email
Your preferred therapist No PreferenceAbby MyhraAmanda HancockAsha WilliamsAspen ReslerAssoh (Glow) ArpelletCorinne SundellDenise SchmidtEleanor MillerGrace GloverGwen DayJenny MillerJessica HaasKelly EvansLeah McEllistremLibby LueckeLindsay GadesMeg PeltierNikki BraatenSarah KingTerrance Ostrander
Your insurance —Please choose an option—Cash / None / OtherAetnaBind / SurestBlue Cross Blue ShieldBlue Cross Blue Shield MedicaidBlue PlusCignaHealthEZ America's PPOHealthPartnersHealthPartners MedicaidHennepin HealthLyra HealthMedicaMedical AssistanceMetropolitan Health PlanOptumPrime WestUBHUCareUcare MedicaidUHCUMR
Brief description of therapy needs
