Request an Appointment with Melanie

Hello, and thanks for reaching out to inquire about starting therapy with me. I am not able to see new clients until January 2025. Please fill out the form below to get on my waiting list, and I will reach out when I have availability.
Name

First NameLast Name
Age
Phone Number
Email
example@example.com
Reasons for Seeking Therapy
Do you have a preference for Day of Week and Time of Day, or would you like a first available appointment?
How frequently do you prefer to meet?

WeeklyEvery 2-3 WeeksMonthlyEvery 6-8 WeeksQuarterly
I prefer to meet:

In Person: BirminghamTelehealth
Our rates are $150/Assessment and $130/55 minute session. Please select your preferred method of payment.

Plan to Utilize InsurancePrivate Pay
If you plan to use insurance, what kind of insurance do you have?

Blue Cross Blue ShieldLucetUpriseBHSHumana/TricareUnited HealthcareVIVA HealthPrivate Pay
If you do not see your insurance listed above, please visit our website here to find a provider that is in network with your insurance.
Do you have any questions before we schedule?
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