APPOINTMENT REQUEST

This form allows you to request a booking with one of our Wellness Grove clinicians.

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Full Name *

Email Address *

Phone Number *

Area of Counseling
— Choose Area of Counseling —AbuseAcademic ProblemsAdjustment and Life TransitionsAdolescent IssuesAging & Geriatric IssuesAnger ManagementAnxietyBlended FamilyBody ImageBoys' & Men's IssuesBullyingBurnoutCareer DevelopmentCaregiving IssuesChildhood TraumaChildren's IssuesChronic Health Issues & DisabilityChronic PainCommunication & Conflict ResolutionCoping SkillsDepressionDivorceEating DisordersFamily ConflictFirst Responder IssuesGender DysphoriaGirls' & Women’s IssuesGratitudeGrief & LossIntimate Partner ViolenceLGBTQ+ IssuesMarital, Pre-marital, & CouplesMeaning & Purpose in LifeMilitary IssuesMulticultural ConcernsOTHERPandemic CounselingPanic AttacksParentingPerfectionismPregnancy & PostpartumRelationship IssuesSelf-CriticismSelf-esteemSelf-harmSomatizationSpiritualitySports Performance IssuesStrengthsStressSubstance Use IssuesSuicidal IdeationTrauma & PTSDWellness

Clinician
— Choose Clinician —Dr. Jessica Headley, LPCC-S, PMH-CDr. Christina Woloch, LPCC-S, LICDCDr. Sherry Warren, LSWDr. Lynn Edwards, LPCC-SAndrew B Allen, LPCC-SMatthew Campbell, LPCC-S, LICDC, NCC, CSPTCaitlin McDougle, LPCC-SShannon Woodard, LPCC-SPaige Wallace, LPCC-S, CCATPCynthia Cox, LPCC-S, CCTP-IIBenjamin Mickey, LPCC-SSara Newman, LISW-SGina Bowers, LISW-S, CCTP-II, EMDR-CRebecca Chajkowski, LPCC-S, CDCABrittany Franklin, LPCC-SDavid Carroll, LPCC-S, C-DBTCherita Griffin, LPCC-S, NCC, C-DBT, SEL-FOlivia Weinzatl, LPCC-SLarissa Haring, LPCC-S, OCPCJessica Stephens, LPCC-SCrystal Snyder, LPCC-SErin Black, LPCC-SRachel Gombash, LPCCThomas Deiotte, LPCC, CDCAChristy Ward, LPCCCarly Chapman, LPCC, LPAT, ATR-BCAbigail Arner, LPCC, C-DBTLindsay West, LPCCNatalie Cross-Ketler, LPCC, CCHTLeah Gonzalez, LPCC, ATRLauren Wallace, LPCCKatalin Buehrle, LISWKevin Smith, LSWAnna Ellenson, LPCChantelle Butler, LSWMichael Luthy, LPCMegan Schultz, LPCRachel Tassile, LSWAubrey Dempsey, LPCChristina Smith, LPCMaggie Rosner, LPC, ATR-PSylvia Campbell, LSW, CCTP-IMiranda Bowman, LSW, LPCAshley Kaminski, LPCAlanna Sudberry, LSWJessica Burge, LPCAllison Hayes, LPC, CASNicole Marran, LPCJoshua Prince, LPCAshley Williams, LSWCassandra Harrison, LPCNicole Flower, LPC, ATR-PRobert Krabill, LPCCailynn Wynn, LPCShannon Keeney, LPCHunter Garbe, LPCEstrellaasia Ciptak, LPCMadeline Fechheimer, LPCDante Seruch, LPCEndia Peoples, LPCBrooke Skiba, LSWShelby Vacha, LPCLauren Martino, LPCJessica Budyka, LPC, NCCRiley Contipelli, LPCMahlee Evans, LPCJacquelyn Hamby, LPCFaith Seders, LPCStefanie Vaught, LPCSarah Amatangelo, LPCEmma Olee, LPC, EMDR-CHannah Blanken, LPCJoncquil Hope, LPCKylie Smith, LPCMartha Gotham, LPCBrittany Smith, LSWEmily Johnson, LSW, CDCAJasreen Multani, LPCBrynn McKenney, LPCSarah Nutter, LPCSydney Szydlowski, LPCMariah Nelson, LPCDashae Burge, LPCSean Lebens, LPCCatherine Hommer, LPCMackenzie Lewis, LPCRachel Ambroziak, LPCAlexis Mutersbaugh, LPCDaytona Hedrick, LPCZara Paolucci, LPCConnie Eggeman, LPCNoura Al-Khafif, LPCHasim Muhammad, LPCNina Ayala, LPC, LPAT, ATR-BC, CDCAMakenna Rutledge, LPCVega Stone, CTNadeh Alomari, SWTEmily Pfefferl, CTMeredith Undercoffer, CTNickalaus Pryor, CTValentina Pass, CTSarah Udell-Miller, CTSeth Duncan, CTA’Sha Thomas, CTNaseem Mirhaidari, CTDevin Renspie, CTMarcus Romeo, CTMichele Carpenter, CT, LCDC IIIHarley Summers, CTSarah Bursley, CT, CDCAKaylyn Jones, CTKara Corbett, CTGabrielle Trunzo, CTKaley Furner, SWT, CHWEmily Byard, CTCarmen Holmes, CTJulia Newbould, CTAlaina Smith, CTAngela Huntsman, SWTBryn Elliott, CTJordan Cox, CT, LCDC IIKassandra Hottmann, CTCaroline Erak, CTKatie Scrimo, CTMelissa Gilbert, CTCharlie Harless, CTHannah Hostetler, CTGabriel Mulé, CTSharon Williams, CT

Preferred Day
— Choose Preferred Day —No PreferenceMondayTuesdayWednesdayThursdayFridaySaturday

Preferred Time of Day
— Choose Preferred Time of Day —No PreferenceMorning (open to 12pm)Afternoon (12pm to 5pm)Evening (5pm to close)

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