Schedule Appointment

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Please use this secure form to request an initial appointment, and our Client Coordinators will contact you in 1-2 business days. We know this form asks for a lot of information. But, it helps us to be able to schedule you more quickly.

We look forward to working with you!

Contact Information

By giving your email address, you are giving us permission to email you regarding scheduling.
By giving your phone number, you are giving us permission to call and/or text you regarding scheduling.

Location (Downtown Lancaster, East Petersburg, or virtual)

If you have a preference, please specify which location you'd prefer to be seen at (East Petersburg or Downtown Lancaster) or if you'd prefer an online appointment. We also offer school based outpatient therapy at Lancaster Country Day School for their students..

Client Information

In order to assign an appropriate therapist, we need to know the client's age. Also, having date of birth helps us to check insurance benefits.
Please note: Couples and/or family counseling is a self pay service. You can read more about this on our website.
*PLEASE NOTE: We do not participate with Aetna, Cigna, Optum/UBH, Trustmark, UPMC, Medicare or any Medical Assistance plans and cannot submit claims to any out-of-network insurance*
Having your member number helps us to check your mental health benefits before calling you back. If you would be self pay, just write N/A
    Please upload a file
      Please upload a file

      This is only a request for an initial appointment and does not guarantee an appointment, nor does this establish a therapist-client relationship. We will review the information you have provided to determine if we have a therapist available who would be a good fit for you. Please allow 1-2 business days for a response.

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