Request An Appointment Schedule an Appointment Personal InformationName* First Last Date* Phone*You will receive a text confirmation once we have responded to you via email. You can expect a response within a 24 hour period.Email* We will respond to your request via email within a 24 hour period. If not in your inbox, please check junk/spamHow did you hear about JHFS?* Returning Client Web Family/Friend recommended JHFS Medical Referral Payment Options* I have BCBS insurance I have an alternate carrier I will not be using insurance at this time Please note, JHFS only accepts BCBS insurance. Should you have an alternate carrier, payment will be due at time of service and we will provide you with an invoice to submit directly to your carrier for reimbursement.Therapy RequestsI am seeking:* Individual Therapy Couple's Therapy Family Therapy Parenting Support PreScreening* Domestic Violence is currently an issue Substance use/abuse/addictions is currently an issue for me Substance use/abuse/addictions is currently an issue for my partner Affair is recent/historic in relationship Reason for seeking counselingPlease briefly describe the reason you are seeking counseling today.I would like to request an appointment with the following therapist. Please note: Laura Santomauro, LMFT is NOT accepting clients until guesstimated timeframe of April 2019* Dr. Steve Badgett, PhD, LCSW - EFT couples therapist, individual & family therapist Margaret Bingham, LPC - individual women only I do not have a preference Please specify best schedule days/times.*We will do our best to accommodate your requests. Due to increased demand for scheduling, some appointment days/times and/or therapist requests may not be available. We appreciate your patience in scheduling.Thank You for contacting JHFS with your counseling needs.You will hear from us via email, within 24 hours, outlining additional information and scheduling options that best match the days/times you have requested with our current scheduling availabilities.
