Rising Phoenix Counseling Services, LLC Send Message

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For insurance verification
Select the state you live in
Reason for care
Our office does not provide medication management, surgical letters, or diagnostic services.
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Administrative
How did you learn about our office?
Billing & Payment
How do you plan to pay?
Upload a photo of your insurance card
These are the only insurances providers our office can accept - at this time we are unable to accept any medicare plan.
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Provide the secondary insurance company name, your member ID#, and the full name and DOB of the primary subscriber if not yourself.
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Client Preferences
Our office books on a consistent weekly basis, we do not have the ability to provide flexible week to week scheduling, please provide what days of the week, and times of the day work best for your schedule.

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.