Appointment Request

To schedule an appointment or to obtain additional information about services, please fill out the form below or call 614.940.4868. Please understand our availability can quickly change for many reasons. We will do our best to accommodate you but may be unable.

We strive to reach you within 1 to 3 business days, if not sooner. Please reach back out if you have not heard from us within 3 business days.

Name *

First

Last

Email *

Phone Number *

Preferred Day(s) *

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday
• Saturday
• Sunday

You may select ore than one day.

Please select your preferred time(s) *

• Early Morning
• Late Morning
• Early Afternoon
• Late Afternoon
• Evenings
• Weekends

You may select more than one.

Preferred Method of Contact *

• Phone
• Email
• Either

Women's Health or Health Anxiety

• Amy Durtschi, LPCC
• Jodi Gibbs, BSW, PA-C, MPAS
• Kate Streim, MSW, LSW (not accepting new clients)

Our Women’s Health team can provide a variety of support by working with you individually and/or conjointly to ensure better coordination of care for yourself and/or family and loved ones.

Nutrition

• Laurie Coleman, RD, LD

Medication Management [cautious use, if any, of stimulants & suboxone and benzodiazepines, will be given by our provider]

• Christopher Kovell, DO
• Jodi Gibbs, BSW, PA-C, MPAS
• Justin Kerr, APRN, PMHNP-BC
• Soumi Dey, PMHNP-BC
• Taylor King, DO

Please select your top choice but understand the availability of our prescribers can vary quickly based on your request times to meet, your insurance, etc.

Counseling – Please Understand Not All Therapists Can Accept New Clients.Select Preferred ProviderAlissa Jackson, LISW-S, RYT 500Allyson Cordle, LISWAmy Durtschi, LPCCAngie Tracy, MSEd, LPCC-SBrock Bauer, LISW-S, SAPBryan Davis, MSEd, LPCC-SChristine Belanga, MSW, LSWDana Acock, MSW, LISWDana Jackson LISW-LICDCDebbie Helldoerfer, MSW, LISW-SDrew Moss, EdD, LPCC-S, LICDC-CSGrant Schroeder, LPCC-S, LICDC-CSGreg Ritter, LPCC, LICDC-CSHeather McAtee, M.Ed, LPCC (telehealth only)Jackie Schwartz. LISW-S, LICDC-CSJeff Hlad, LPCJoe Cleary, MSW, LSWJoel Pfeifer, MEd, MSW, LISWJohn Hollis, LISWKade Forth, LISW-SKaren Merson-Lehman, RN, MS, LPCCKate Streim, MSW, LSW (Not accepting new clients)Kim Wall, LISWKristina Knight, LISW-SKrystle Collins, LISW-SLisa Zupan, MSEd, LPCLuke Hampel, LPCCMary Rastetter, LISWMary Beth Holt, PhD, LISW-SMaxine Sims, MSEd, LPCCMelanie Poulson, LISWMomina Khatri, MSW, LSWNetsanet Chevers, LPCCNicole Parente, LISW-SNicole Wilson, LPCRick Allen, MSW, LSWSamara Sauls, MSW, LSWSandy Puckett, LPCCSarah Vretas, LPCCScott Boyd, LISWShahrzad (Shar) Nabavi, MSW, LISW-STrevor Simmons,, LPCCVelma Valentine, LISW-SWill Crowe, LICDC, SAPAny CounselorAny FemaleAny Male

Please select your top choice but understand the availability of our counselors can vary quickly based on your request times to meet, your insurance, delivery of service, etc.

Preferred Location *

• In Office
• Video Call
• Either

Please provide any important notes below to help us understand how we can assist you.

Is it ok to leave you a voicemail if you don't answer? *

• Yes
• No

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