Clinical Counseling

CLINICAL COUNSELING with a state licensed mental health therapist.

Clinical sessions can be charged through insurance, or paid out-of-pocket. We are providers with BCBSVT and VT Medicaid. Sessions are booked with a state licensed mental health therapist and may vary depending on availability.

Please complete the following inquiry form and our team will be in touch!

Please email office@moonrisetherapeutics.org if you have any questions

CLINICAL INQUIRY FORM

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Name *

First

Last

Name of Person You are Submitting For if Not You

Date of Birth of Person You are Submitting Form *

Email *

Phone Number

are You Sessions

Address

What Town Do you Live In? *

Clinical Sessions can be charged through insurance or paid out-of-pocket. Insurance Plan Type/Name ( We are providers of BCBSVT and VT Medicaid) *

Out-Of-Pocket Payment Option ( Yes/No/Maybe) *

How Did You Hear About Us? *

What Are Your Hopes In Working With Us? *

Is There Anything Else You Would Like Us To Know?

Submit

CLINICAL GROUP SUPERVISION– Group for Clinical Counselors