Request appointment | New Path Counseling & Wellness, PLLC

Request an appointment

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Name of Insurance Carrier

If no insurance indicate "None"

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Insurance card upload

Upload a photo of your insurance card

What is the insurance Member ID number (located on insurance card)

If private pay indicate "none".

Do you have a Secondary Insurance? If so please put name of insurance and Member ID

Payment information is required to confirm all appointment requests. No fees or copays will be processed until the day of your appointment. You may contact the office with any questions regarding verification of insurance benefits. Do you understand and agree?

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For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.