Art Therapy Group Sign Up

Creative Counseling and Studio, Omaha Nebraska

Please correct the errors described below.

Thank you for reaching out to us for art therapy services with Creative Counseling and Studio! Art therapy groups are $75/group session/participant. More information will be provided when our team provides intake and consent forms. We look forward to connecting with you!

Primary Client Information

Please include the name and date of birth of primary insurance holder.

Legal Guardian Information

Type N/A if not applicable.

Art Therapy Request

Select all that apply. Groups have a limited amount of seats. Please specify the specific date you would like to start group.

Group Time Preferences

Group date availability varies.
Please specify what you would like to work on in therapy. In addition to any special accommodations that you may need to participate in art therapy groups.

Notice

A request for services is not a guarantee for services. Intake for therapy is based on clinical compatibility, financing and the availability of the therapists. We will work diligently to help meet your mental health needs. If we are not the best fit, we will provide you with quality referrals.

Our team will reach out to gather more information in order to confirm your group participation times. If the appointment is confirmed, we will send you a secure link inviting you to create an account to complete your intake forms and schedule future appointments. We look forward to working with you. Take care!

HIPAA Notice of Privacy

This form is hosted on Hushmail Forms. Hushmail is an encrypted HIPAA complaint platform that is used for internal purposes only with Creative Counseling and Studio. To learn more about Hushmail's HIPAA and encryption standards click here. This document will be securely stored within your electronic health record.

Creative Counseling and Studio Notice of Privacy Practices.

Your information will be encrypted.

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