This form is a request for an appointment and not a guarantee of services.
Telephone717-282-2908
We are in network with Highmark, Blue Cross (in and out of areas), Quest, Medical Assitance, Geisinger. Other insurances we may be able to help you secure out of network benefits.
Having your insurance information allows us to verify benefits
This is only a request for services and not a guarantee of availability nor does it create a client-therapist relationship. Please allow 3-4 business days for a response.
Your information will be encrypted.
Matters of the Heart Counseling, LLC
This form is a request for an appointment and not a guarantee of services.
Telephone717-282-2908
Loading...
Electronic signature
Your browser does not support capabilities required for electronic signatures.