Get in Touch

NOTICE: This message will be sent to the office administrator and will be forwarded to the appropriate provider. Please do not share personal medical information on this form.

*If you have a medical emergency, please call 911*

Contact Us

Location

2940 South Park Rd

Bethel Park, PA 15102

Phone : (412) 833-1800

Fax: (412) 833-1818

Hours by Appointment

MONDAY – FRIDAY : 8:00 – 8:00

SATURDAY: Closed

SUNDAY: Closed

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About You

Your Name(Required)

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Your Email Address(Required)

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What County Do You Live In?

Which county in Pennsylvania do you reside?

Patient's Information

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First Name

Patient's First Name

Last Name

Patient's First Name

Date of Birth(Required)

Type of Counseling(Required)

Choose the type of counseling you are interested in.

Insurance Information

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Insurance Carrier(Required)

UPMC

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Preferred Therapist

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Comments

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Please contact your insurance company and ask these questions.

What are my mental health insurance benefits?
How much is my deductible, when does it begin, and has it been met?
Is there a limit on how many sessions my insurance will cover?
What is my copay and is it the same amount for teletherapy and in person sessions?
Is approval or referral required from my primary care physician?