Request appointment | The Anxiety and Behavioral Health Center

How did you hear about us or who referred you?

If referred by a specific person, please share their name (optional)

Have you previously been in therapy?

Yes No

Are you currently working with a therapist?

Yes - and I am looking to transition Yes - and I am looking for an additional provider No

Are you currently working with a psychiatrist or prescriber for medication?

Yes No No - interested in a referral

Which clinician at ABHC are you interested in working with?

Please note that your preferred clinician may not have immediate availability or provide the services that you are looking for.

Dr. Christina Brooks Dr. Bonnie Thurston-Snoha I do not have a preference

What days and times generally work best for appointments?

Please note that we schedule on a first-come, first-serve basis and may not have your preferred days/times available

Weekday mornings (before noon) Weekday afternoons (noon–5pm) Weekday evenings (after 5pm) Saturdays Flexible / no preference

Do you have a preference for appointment format?

Intake appointments are typically scheduled in-person. The decision about format of follow up sessions is collaborative and is based on client preference and clinical need.

In-person Telehealth No preference

Medicare & Medicaid: Our practice is unable to provide services to individuals who hold Medicare or Medicaid as their primary or secondary insurance. This is a legal requirement and is not flexible. If you are unsure whether this applies to you, please contact us before completing this form.

I understand that ABHC cannot serve individuals with Medicare or Medicaid coverage.

Out-of-Network & Insurance: ABHC clinicians are out-of-network providers and do not participate directly with any insurance plans. Payment is due at the time of service. We are happy to provide a monthly superbill that you may submit to your insurance for potential out-of-network reimbursement. We encourage you to contact your insurance provider in advance to understand your out-of-network mental health benefits.

I understand that ABHC is an out-of-network practice and does not bill insurance directly.

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