Intuitive Wellness LLC Send Message

Your info

Reason for care
Limited to 600 characters
For example: Are you new to therapy? Have you found certain approaches helpful/unhelpful?
Limited to 600 characters
Billing & Payment
Would you like to use your insurance benefits or private pay?
The below insurance carriers are in network for Intuitive Wellness. Please note Medicaid plans are not accepted, even if they are provided by the below carriers.
Please provide the member ID listed on your insurance card (including any letter based prefix) to assure Intuitive Wellness is in network with your specific plan.  (Or N/A if choosing private pay)
If you have insurance you’re not planning to use or that isn’t accepted, please list the plan below. Some plans may require an opt-out form. (Enter N/A if you’re using insurance.)
Client Preferences
Choose all that apply. Appointments are scheduled on Tuesday/Wednesday/Thursday from 9am-4pm
In person - There are steps at the office. Telehealth - Must be located in WV, VA or PA at the time of appointment.
Telehealth - Please note that due to licensing restrictions you must be located in the state of WV, VA, or PA at the time of your appointment.
Please select how often you would like to attend therapy if you know at this time.
Intuitive Wellness makes every effort to keep the waitlist to no more than 3 months when no immediate openings are available. However, due to the nature of therapy services, wait times can vary and may be unpredictable. If you have been on the waitlist for 3 months, would you like to remain on the waitlist for a potential opening?
Would you like to complete the initial paperwork in advance so that you’re ready to schedule if an opening or last minute appointment becomes available? Privacy Note: If you choose to complete the paperwork in advance and later decide not to receive services here, your information will be permanently deleted.
Please include any additional information or questions here.
Administrative
How did you find Intuitive Wellness?
If another provider referred you, please include their name and brief reason for referral? (if applicable)

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. You also agree not to submit any payment information, including credit or debit card details, through this form.