Please list if contact person is not client, ie, parent or care taker
Please indicate how you would prefer for us to contact you. If you request to have your intake set up via email you will need to be sent and complete our credit card form prior to being able to confirm a scheduled appointment. We CANNOT schedule intakes via text messaging as it is not a secure form of communication. Emails will come as encrypted from admin@angelus.hush.com. If you are expecting a response via email please check your spam/junk folder as at times these can be funnelled there by your email provider.
Insurance & Payment
Please choose the insurance you would be using
Who carries the insurance plan that you use?
If your insurance is carried by anyone other than you, please list their first and last name, birthday, phone and address. This information is required by the insurance company as verification and not for us to reach out to that person.
Please list any secondary or tertiary insurance information you may have
Please upload a file
Insurance can be complicated. This chart may help you explore which therapists may be in and out of your insurance network.
About Your Appointment
Presently at capacity for Couple's counseling with no anticipated date of availability
Please upload a file
Please let us know any presenting issues, concerns, or areas you would like to work on in counseling so that we can match you with the best therapist to meet your needs.
Please let us know how you found our office, were you referred by someone, see us on social media or find us through a google search? This will help us with coordinating your care
Please upload a file
Your information will be encrypted.
Emergency Assistance
If this is an emergency, call:
911
Beaver County Crisis Line: (724) 731-8060
Butler County Crisis Line: (800) 295-3866
Lawrence County Crisis Line: (724) 652-9000
Mercer County Crisis Line (724) 662-2227
Angelus Therapeutic Services Inc
Angelus has been in practice since 2009 and consists of a group of skilled therapists whose specialties vary in focus and populations treated. The clearer you are regarding your reason for starting counseling the better we can match you to your ideal therapist.
Our intake coordinator, Melisa, is available Monday - Friday from 11 AM -3 PM to answer any questions or concerns you may have and to assist you in scheduling your intake.