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Request Parenting Counseling
Please complete the form below. Gina Ager LCSW will be in touch to set up a consultation.
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Email
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Your email
Your First and Last Name
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Your answer
Phone Number
Your answer
In one or two sentences, please describe the reason you are requesting parenting counseling
Your answer
What are the ages of your child/children?
Your answer
Which health insurance will you be using for the parenting counseling?
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Highmark BC/BS
UPMC
United
Other Blue Cross/Blue Shield
We do not accept CHIP at this time
Currently, we are able to offer Parenting Support Counseling during daytime hours. Please select times matching your preferred availability. Time slots are not guaranteed.
Mondays 11:00 am
Mondays 12:00 noon
Tuesdays 11:00 am
Wednesdays 12:00 noon
Thursdays 10:-00 am
Thursdays 11:00 am
Thursdays 12:00 noon
What is your preferred mode for our meetings?
Telehealth
In-Person
No Preference
If in-person is not available, telehealth is okay
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By clicking "Yes, I understand" below, you acknowledge that (1) submitting this form does not guarantee services, and (2) this form is not monitored for crisis or emergency requests.
If you are in crisis, please call the RE:SOLVE Crisis Hotline (1-888-796-8226) or go to the nearest emergency room.
Gina Ager LCSW will respond within 2-3 business days to set up a consultation.
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