CLS Counseling & Consulting, PLLC

How do you plan to pay?

If you have insurance and plan to use it, please upload a photo of the front and back of your card. This helps us confirm we're in network and check your benefits before we meet.

Got it, I'll upload it I'd rather chat about it first

Insurance card upload

Upload a photo of your insurance card

If you have insurance and plan to use it, Are you the primary subscriber on this insurance plan?

Yes, I'm the primary subscriber No, someone else is the primary subscriber

If no, please provide the following for the primary subscriber: Full Name, Date of Birth, Address, Relationship to You:

Limited to 600 characters

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