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-harmSomatizationSpiritualityStrengthsStressSubstance Use IssuesSuicidal IdeationTrauma & PTSDWellness

Clinician
— Choose Clinician —Dr. Jessica Headley, LPCC-S, PMH-CDr. Christina Woloch, LPC, LICDC, C-DBTDr. Darryl Mason, LSW, LICDCDr. Sherry Warren, LSWAndrew B Allen, LPCC-SKellie Feciuch, LPCC-SMatthew Campbell, LPCC-S, LICDC, NCCJessica Horvat, LISW-SMadeline Skemp, LPCC-S, ATRCaitlin McDougle, LPCC-SJamie Sevenbergen, LPCC-S, CDCA, C-DBTRachel Gombash, LPCCPaige Wallace, LPCCCynthia Cox, LPCCCianna Dorando, LPCCBenjamin Mickey, LPCCCrystal Snyder, LPC, LICDCErin Black, LPCChristy Ward, LPCCarly Chapman, LPC, ATRBrian Keith Starcher, LPCChelsea Martinez, LPCLindsay West, LPC, CDCAMegan Hannum, LPCKevin Smith, LSWNatalie Cross-Ketler, LPCLeah Blankenship, LPC, ATR-PMarlon Walker, LSWDustin Smith, LSWAnna Ellenson, LPCSarah Antes, LPCDioswal Cook, LPCBrendan M. Rowe, LPCCherita Griffin, LPC, NCC, C-DBT, SEL-FChantelle Butler, LSWKylee Little, LSWJessica Stephens, LPCMichael Luthy, LPCThomas Deiotte, LPC, CDCASarah Morris, LPCMegan Schultz, LPCMegan Fortney, LPCBrittany Franklin, LPCRachel Tassile, LSWJesse Yanke, LPCZakree Buccitelli, LPCCierra Wheeler, LSWSarah Boesger, LSWAubrey Dempsey, CTMaggie Rosner, CTJessica Burge, CTChristina Smith, CTNicole Marran, CTKatherine Kirkholder, CTLinda Marcel-Rene, CT, CDCA, CTPSarah Amatangelo, CTRacquel Dillard, CTAshley Kaminski, CTNicole Flower, CTRobert Krabill, CTJeremy Guess, CTShanae Moss, SWTAlanna Sudberry, SWTCassandra Harrison, 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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