get started now! To get started, please take a few moments to let us know a little about yourself by filling out the form below. Please enable JavaScript in your browser to complete this form.Name: *FirstLastAre you over 18? *YesNoDo you live in Missouri? *YesNoEmail: *Phone Number: *Availability: *MorningAfternoonEveningCheck all that apply. I am interested in: *Individual CounselingMarriage CounselingFamily CounselingNeurofeedbackWhich clinician are you interested in seeing? *Leslie BashioumKristen CraneTeresa HodgesFirst AvailableWill you be filing with insurance? *YesNoName of insurance provider: *Give us a brief summary of your situation: *Do you have any specific questions for us? *How did you hear about us? *Submit
