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New Patient Inquiry
Let's start your journey.
Please submit a message, and our clerical team will call you back to get started.
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​​​Once we have assigned you a provider and an appointment time, you will need to complete some additional intake documentation at least 24 hours before your first appointment.
You can also call our office (Monday-Thursday 9-5; Friday 9-4) -- (785) 776-4105​
In the text box below, please include:
1) The reasons for seeking counseling
2) Insurance information
3) Requests for a specific provider
4) Your available days/times for therapy
This form is best viewed/completed on a computer or tablet.
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