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 an Area of Counseling —AbuseAcademic IssuesAdjustment & Life TransitionsAdolescent IssuesAging & Geriatric IssuesAnger ManagementAnxietyBinge Eating DisorderBlended FamilyBody ImageBoys' & Men's IssuesBullyingBurnoutCareer DevelopmentCaregiving IssuesChildren's IssuesChronic Health Issues & DisabilityChronic PainCommunication & Conflict ResolutionCoping SkillsDepressionDivorceExecutive Functioning IssuesFamily ConflictFirst Responder IssuesGender DysphoriaGirls’ & Women’s IssuesGratitudeGrief & LossIntimate Partner ViolenceLGBTQ+ IssuesMeaning & Purpose in LifeMilitary IssuesOTHERPandemic CounselingPanic AttacksParentingPerfectionismPregnancy & PostpartumRelationship IssuesSelf-criticismSelf-esteemSelf-harmSpiritualitySports Performance IssuesStrengthsStressSubstance Use IssuesSuicidal IdeationTrauma & PTSDWellness

Clinician

— Choose Clinician —Dr. Jessica Headley, LPCC-S, PMH-CDr. Christina Woloch, LPCC-S, LICDCDr. Sherry Warren, LSWDr. Pamela Ebert, LPCC-SDr. Lynn Edwards, LPCC-SDr. Kiersten Baughman, MFTDr. Alison Langdon, CTDr. LaTrice Snodgrass, CTAndrew B Allen, LPCC-SMatthew Campbell, LPCC-S, LICDC, NCC, CSPTShannon Woodard, LPCC-SPaige Wallace, LPCC-S, CCATPBenjamin Mickey, LPCC-SSara Newman, LISW-SGina Bowers, LISW-S, CCTP-II, EMDR-CRebecca Chajkowski, LPCC-S, CDCABrittany Franklin, LPCC-SDavid Carroll, LPCC-S, C-DBTOlivia Weinzatl, LPCC-SLarissa Haring, LPCC-S, OCPCJessica Stephens, LPCC-SCrystal Snyder, LPCC-SErin Black, LPCC-SCarly Chapman, LPCC-S, LPAT, ATR-BCNatalie Cross-Ketler, LPCC-S, CCHTSusan Weber, LPCC-SGregory (Greg) Southard, LPCC-S, IMFT-SAnn Brandt, LPCC-SErin DiVincenzo, LPCC-SRachel Gombash, LPCCThomas Deiotte, LPCC, CDCAChristy Ward, LPCCLauren Wallace, LPCCJoshua Prince, LPCCRachel Tassile, LISWAnna Ellenson, LPCCAndrew (Drew) Wilcoxson, LPCCElisheva (Eli) Schwersenski, LPCCCaitlin Cable, LPCC, NCCRandi Porcenaluk, MFTKevin Smith, LSWMichael Luthy, LPCMiranda Bowman, LSW, LPCAlanna Sudberry, LSWAshley Williams, LSW, CTPNicole Flower, LPC, ATR-PShannon Keeney, LPCEndia Peoples, LPCShelby Vacha, LPCLauren Martino, LPCJessica Budyka, LPC, NCCStefanie Vaught, LPC, CSTIPSarah Amatangelo, LPCHannah Blanken, LPCMartha Gotham, LPCEmily Johnson, LSW, CDCAJasreen Multani, LPCBrynn McKenney, LPCSarah Nutter, LPCSydney Szydlowski, LPCSean Lebens, LPCCatherine Hommer, LPCMackenzie Lewis, LPCRachel Ambroziak, LPCAlexis Mutersbaugh, LPCDaytona Hedrick, LPCZara Paolucci, LPCNoura Al-Khafif, LPCMakenna Rutledge, LPC, ATR-PEmily Pfefferl, LPCKrysta Wuertz, LPC, CTRSLindsay Smith, LSW, LICDCSarah Udell-Miller, LPCDevin Renspie, LPCSarah Bursley, LPC, CDCAMichelle Wiley, LPCKylie Smith, LPCOlivia Strank, LPCVega Stone, LPCDavia Smith, LPC, ATR-PKayla Facey, LPC, NCCPrescilla Dorsey, LPC, NCCBrandon Goldsmith, LPC, CDCAMariah Nelson, LPCKaley Furner, LSW, CHWSeth Duncan, LPCWilliam Clark III, LPCNadeh Alomari, LSWRebecca Denney, MFTHarley Summers, LPCGabrielle Pacheco, LPCAlicia Lee, LSWNickalaus Pryor, CTKaylyn Jones, CTMichele Carpenter, LCDC III, CTJulia Newbould, CTAlaina Smith, CTAngela Huntsman, SWTBryn Elliott, CTKassandra Hottmann, CTCaroline Erak, CTKatie Scrimo, CTMelissa Gilbert, CTCharlie Harless, CTNaseem Mirhaidari, CTJordan Cox, LCDC II, CTGabriel Mulé, CTEsha Parekh, CTHannah Kurtz, CTGraig Hair, MFTTSherah-Leigh Gerber, CTLaiha Lane, CTAbigail Schurman, CTAnee Garrett, CTChristopher Cherullo, CTIsabella Armentrout, CTTrever Sangster, CTHaleema Mohsen, MFTTEmily Vaeth, MFTTCourtney Thaman, CTHannah Hostetler, CTSharon Williams, CTAlicia Lytle, CTMelanie Whisman, CTKatelyn Sausaman, MFTTLeigh Foster, CTAlexis (Alex) Esterle, CTMolley Krstich, CTNgoc (Minh) Tran, CTDylan Kelsey, CTEricka Karazsia, MFTTElizabeth Heeke, MFTTJamie Timms, CTHaley Scherff, CTRachael Saepic, CTLane Howe, CTAnnemarie Mosley, CTCourtney Seckinger, CTFrank Ritenour, CTSamuel Delvalle, CTShatora (Tori) Dolise Magna, CTSydney Heitkamp, CTTrinity Klock, CTKyra Horvat, MFTT

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)

Comments

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