Healing starts here. For the quickest response, complete the information request form below. You will receive a reply by email as soon as possible. Name * First Name Last Name Phone * (###) ### #### Email * How did you hear about Redefine Counseling? * Psychology Today Insurance provider Medical Provider Another Therapist Friend Family Member Google search Other Name of referring therapist or provider (if applicable): Are you familiar with, or specifically referred for, EMDR therapy? * Yes No Insurance Provider (if applicable): * Remember: Insurance does not cover consecutive hours of therapy. Clients will be responsible for any fees not covered by insurance. BCBS BCBS State Health Plan (NC) United Healthcare UMR Aetna Cigna Medcost Healthy Blue Medicaid United Healthcare Community (Medicaid) Medicare Self-Pay Other What are your main reasons for seeking treatment? What would you like to see improve? * Thank you for contacting Redefine Counseling and Wellness, PLLC. You will receive a response by email or phone as soon as possible.