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Therapy Session Request 2

Contact Information

Cedar Rapids Office
375 Collins Road N.E., Ste 103
Cedar Rapids, IA 52402

North Liberty Office
595 Ashley Court, Ste 5
North Liberty, IA 52317

Monday 8AM – 5PM
Tuesday 8AM – 5PM
Wednesday 8AM – 5PM
Thursday 8AM – 5PM
Friday 8AM – 5PM

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Name

Email

How did you hear about us?

Bing search Google search Psychology Today Referral from a family member or friend Referral from a healthcare provider

Location

Cedar Rapids office North Liberty office Telehealth

What days and times (i.e., morning or afternoon) can you attend therapy?

Insurance

Blue Cross or Wellmark Cigna Health Partners Medicare Midlands Choice Out of pocket (private pay)

Phone

What is the best way to contact you?

Email Phone call Text message

Why therapy?