Appointment Request To request an appointment, please fill out the form below: Name: Phone: Email Address: Preferred Date and Time: Preferred Therapist Preferred TherapistMelissa Jenneman, MSW, LCSW, PMH-CEmily Linsmeyer, MSW, APSWRebecca Pollak, APSWTiffani Lajeunesse, LCSWElizabeth Berry, MSE, LPC-IT Date of Birth (mm-dd-yyyy) What is your insurance carrier? What is your insurance carrier?OptumGroup Health CooperativeSecurity Health PlanQuartzBenefit Plan AdministratorsDean Health Plan/Prevea 360MedicaForward HealthUMRCignaSurestAll SaversOscarOxfordCash PayAetnaBCBS/AnthemOther Please list your insurance carrier How did you hear about us? Message: Submit Contact me today for your free consultation. 715-770-9180 Free Consultation