Wait List Request
Thank you for reaching out for services with Expressive Arts Therapy KC.  

I currently have a waitlist for new clients.  
 
I would like some information to ensure my practice may be a good fit for you before contacting you and will let you know if another provider could better meet your needs.
 
 I will contact you when I have a space available.
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Email *
Your Name *
Potential Client Name & age *
Phone Number *
What issues are you wanting to work on in therapy? *
What are your goals for therapy? *
Are you currently being treated by another therapist?  If so, do you plan to continue seeing this therapist while working with me? *
What makes you interested in receiving expressive arts therapy vs traditional talk therapy? *
Do you plan to pay cash ($130/session) or with insurance (all the insurances I currently accept are listed below.  If you do not see your insurance listed. I do not accept it.) *
If you plan to pay with insurance-who is your insurance with?  
I currently accept 
Aetna
Blue Cross Blue Shield of Massachusetts
UnitedHealthcare
GEHA 
UnitedHealthcare Shared Services (UHSS)
UnitedHealthcare Global
UnitedHealthCare Exchange Plans (ONEX)
Oscar
Optum
Harvard Pilgrim
Oxford UHC Student Resources
UMR
All Savers (UHC)
Health Plans Inc
Surest (Formerly Bind)
Medicare (original only-NO ADVANTAGE PLANS)
When are you available during office hours?
Tuesday 3-6pm
Wednesday 9-2pm
Thursday 9-2pm
 *
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