Contact us.hello@thecenterforeverybody.com(440) 973-6244 New Client Form/Supervisee Form Name * First Name Last Name Email * Phone * (###) ### #### Check here to acknowledge that you have reviewed self pay pricing and insurance FAQs * I understand my insurance is in-network (Aetna, Medical Mutual, Cigna, Oscar, Optum, United Health Care, & Oxford) and coverage of sessions varies by plan I understand my insurance is out-of-network and I agree to self pay rates Insurance * Preferred Therapist * Jackie Garn MSSA, LISW-S Marv Howell-Arza, MSSA, LISW Mackenzie Nester MSW, LSW First Available What kind of support are you seeking? (check all that apply) * Eating Disorder Recovery Maternal Mental Health Hypnotherapy - please note that insurance does not cover this service. Ketamine Assisted Psychotherapy Recovering from Chronic Dieting Intuitive eating Recovering from trauma Clinical Supervision EMDR Intensive Therapy Other - Please Specify Your Needs Below What days/times of the week are you regularly available for sessions? * Monday 10a -7pm Tuesday 11am-4pm Wednesday 11am-7pm Thursday 10am-4pm Fridays 9am-3pm How did you find us/referred by? * Location preference: * Virtual In-person Anything else I need to know? Tell us if there is a day/time that you prefer! Thank you! I will be in touch soon! :)
