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. Darryl Mason, LSW, LICDCDr. Sherry Warren, LSWAndrew B Allen, LPCC-SKellie Feciuch, LPCC-SMatthew Campbell, LPCC-S, LICDC, NCCMadeline Skemp, LPCC-S, ATR-BCCaitlin McDougle, LPCC-SJamie Sevenbergen, LPCC-S, CDCA, C-DBTShannon 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-FCrystal Snyder, LPC, LICDCErin Black, LPCCarly Chapman, LPC, ATR-BCLindsay West, LPC, CDCAMegan Hannum, LPCKevin Smith, LSWNatalie Cross-Ketler, LPC, CCHTLeah Blankenship, LPC, ATR-PDustin Smith, LSWAnna Ellenson, LPCSarah Antes, LPCDioswal Cook, LPCChantelle Butler, LSWKylee Little, LSWJessica Stephens, LPCMichael Luthy, LPCSarah Morris, LPCMegan Schultz, LPCBrittany Franklin, LPCRachel Tassile, LSWJesse Yanke, LPCZakree Buccitelli, LPCAbigail Arner, LPC, C-DBTAmy 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, LSWKatherine Kirkholder, LPC, ATR-PAshley Kaminski, LPCAlanna Sudberry, LSWAshley Christenson, LSWJessica Burge, LPCAllison Hayes, LPC, CASNicole Marran, LPCKatalin Buehrle, LSWLisa Schaaf, LPCJoshua Prince, LPCJoshua Wittmer, LPCAshley Williams, LSWLinda Marcel-Rene, LPC, CDCA, CTPSarah Amatangelo, CTRacquel Dillard, CTNicole Flower, CTRobert Krabill, CTCassandra Harrison, 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, 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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