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, LPCC, LICDCDr. Sherry Warren, LSWAndrew B Allen, LPCC-SKellie King Feciuch, LPCC-SMatthew Campbell, LPCC-S, LICDC, NCCMadeline Skemp, LPCC-S, LPAT, ATR-BCCaitlin McDougle, LPCC-SShannon Woodard, LPCC-SPaige Wallace, LPCC-S, CCATPCynthia Cox, LPCC-S, CCTP-IIRachel Stile, LISW-SBenjamin Mickey, LPCC-SSara Newman, LISW-SGina Bowers, LISW-S, CCTP-II, EMDR-CRebecca Chajkowski, LPCC-S, CDCARachel Gombash, LPCCThomas Deiotte, LPCC, CDCAOlivia Weinzatl, LPCC, CDCAChristy Ward, LPCCElena Lentz, LISWCherita Griffin, LPCC, NCC, C-DBT, SEL-FJessica Stephens, LPCCErin Black, LPCCCrystal Snyder, LPCC, LICDCCarly Chapman, LPCC, LPAT, ATR-BCAbigail Arner, LPCC, C-DBTLindsay West, LPCKevin Smith, LSWNatalie Cross-Ketler, LPC, CCHTLeah Blankenship, LPC, ATR-PDustin Smith, LSWAnna Ellenson, LPCSarah Antes, LPCDioswal Cook, LPCChantelle Butler, LSWKylee Little, LSWMichael Luthy, LPCMegan Schultz, LPCBrittany Franklin, LPCRachel Tassile, LSWJesse Yanke, LPCAmy Zwilling, LPCHolly Palmer, LPCElizabeth Pruitt, LSWAubrey Dempsey, LPCChristina Smith, LPCMaggie Rosner, LPC, ATR-PSylvia Campbell, LSW, CCTP-IJessaca Higginbotham, LMFTJordan Porto, LPCMiranda Bowman, LSWCaitlin Cable, LPC, NCCMelissa Tolson, LSWAshley Kaminski, LPCAlanna Sudberry, LSWAshley Christenson, LSWJessica Burge, LPCAllison Hayes, LPC, CASNicole Marran, LPCKatalin Buehrle, LSWLisa Schaaf, LPCJoshua Prince, LPCJoshua Wittmer, LPC, NCCAshley Williams, LSWCassandra Harrison, LPCNicole Flower, LPC, ATR-PRobert Krabill, LPCBarbara Kates, LPCAnthony Krim, LPCSarah Amatangelo, CTMadeline Fechheimer, CTEstrellaasia Ciptak, CTBrooke Skiba, SWTRiley Contipelli, CTVega Stone, CTSarah Dunn, CTStefanie Vaught, CTShelby Vacha, CTJacquelyn Hamby, CTEndia Peoples, CTFaith Seders, CTMahlee Evans, CTDaytona Hedrick, CTConnie Eggeman, CTMariah Nelson, CTAaron Lorenzo, SWT, CDCALaTaisha Anderson, CTRachel Ambroziak, CTHannah Blanken, CTZara Paolucci, CTNadeh Alomari, SWTMegan Porter, CTJasreen Multani, CTAshley Luli, CTKylie Smith, CTEmily Pfefferl, CTMackenzie Lewis, CTBrynn McKenney, CTMeredith Undercoffer, CTSydney Szydlowski, CTNickalaus Pryor, CTValentina Pass, CTSarah Nutter, 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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