Request an AppointmentComplete the contact form and we will get back to you within 48 hours during our regular business hours. CLICK HERE TO LEARN MORE ABOUT OUR SERVICES Name of the Individual Filling out the Form * First Name Last Name Client's Name If services are for a minor, please provide their full name here. Otherwise skip this line. First Name Last Name Email * If services are for a minor, please provide the email of the legal guardian/parent. If services are for you, you can put your own email address here. Phone * (###) ### #### What services are you interested in? * Individual Therapy for myself Individual Therapy for my child Who is your preferred provider? Micaela Devonish Who is the therapy for? * A child (6-12) A teen (13-17) A young adult (18-26) Older adult (26+) What insurance coverage do you have? * UnitedHealth Blue Cross Blue Shield Harvard Pilgrim Carelon Cigna/Evernorth Tufts Interested in self-pay Briefly explain why you are seeking services. * What is the weekly availability of the person needing services? * Our business hours are currently 6pm-9pm but will soon expand. Daytime Afternoon After 3pm It changes weekly. Flexible schedule. Preferred Modality For Sessions Telehealth Phone Sessions Telehealth & Phone Sessions Today's Date MM DD YYYY Thank you! We will get back to you within 1-2 days during our business hours.
