Healing starts here. Name * First Name Last Name Phone * (###) ### #### Email * Which of the following services that I provide are you seeking? (You may choose more than 1 option) * *I treat adults and couples of all ages, but do not see children or adolescent clients at this time. I am not currently accepting traditional talk therapy clients, however if you feel we would be a good fit based on the information on my website, please reach out. EMDR treatment and/or Intensive EMDR sessions: Individuals Marriage Prep/Check-in Packages Financial Therapy: Individuals Financial Therapy: Couples Couples Counseling Other: Please specify in the box below Briefly describe what has you reaching out for support and why you'd like to work with me. * What session type are you seeking? * *I can only provide services to clients physically within the state of North Carolina under my clinical license. EMDR treatment is only provided in person in Hickory, NC. Financial Therapy, Marriage Prep/Check-in, and Couples sessions can be provided in person or via Video call if you are living in NC. In Person in Hickory, NC Virtual/Video call within North Carolina How will you be paying for counseling services? * *I am in network with a few insurance providers, however insurance benefits do not cover Marriage Prep sessions, Intensives, and some Financial Therapy services; these must be paid out of pocket. BCBS Aetna United Healthcare or UMR Cigna Medicaid/Medicare Self-Pay Other Who referred you to me or how did you find me? * Google search Psychology Today Friend/Relative Other Professional Financial Therapy Association Other Thank you for taking the first step toward healing. You will receive a response by email from Rikki@RedefineCounseling.com as soon as possible, so please keep an eye on your inbox or your spam folder! For the quickest response, complete the information request form below
