Meraki Therapy Services LLC

Who would be receiving care?

My partner and me

Someone else

Your info

First name

Last name

Phone

Client Preferences

What is the reason you're seeking services?

Limited to 600 characters

Is there a clinician you'd prefer to work with?

Are you using insurance or will you be private pay? Please provide the name of the insurance company.

Medicaid and Medicare are not accepted. Blue Cross Blue Shield, UnitedHealthcare, UMR, and Aetna commercial insurance are accepted.

If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice.