Request appointment | Dave Payne

Name You Go By

(you're welcome to add pronouns if you like)

What type of services are you seeking?

Individual Therapy Couples Therapy Individual Coaching for ADHD Not sure

What brings you here?

Are there certain concerns or "issues" that you're seeking help with?

Anxiety or Worry Attentional difficulties Depression or Sadness Grief Relationship concerns Trauma Other

Let's make sure these services are a good fit for you. Here's some important info to know up-front so we have more time during our phone call to talk about *you*:

Please check each box to show you acknowledge this info.

Appointments can be scheduled Monday through Friday. The earliest appt starts at 8:30am & the latest appt starts at 2:00pm. Appointments take place on Zoom. No in-office appts are available. I am in-network with Aetna, Anthem, Carelon, Cigna, Optum, Quest, & United Healthcare. I'm also a provider for Lyra & Modern Health. For counseling, you must be in KY, OH, or FL at the time of each session. You must be at least 18 years old.

Is there anything else that you want me to know?

For example: what you'd like to focus on, insurance or payment questions, etc.

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