This brief form is designed to help New Insights match you with a therapist who may be a good fit based on your preferences, needs, and responses. Once submitted, a member of our team will review your answers and contact you within 24 hours if your request is received Monday through Friday. If you submit the form over the weekend (Friday after 8:30pm CST, Saturday and Sunday), we will follow up on the next business day.
Privacy Notice: The information you provide is used solely for the purpose of matching you with a suitable therapist within our practice and will not be used for marketing or any other unrelated purposes.
Please allow 48-72 business hours for us to check your coverage and benefits:
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