Somatic Group Therapy

Name*
First Last
Email*
Phone #*
Date of Birth*
Which type of Somatic Group Therapy are you interested in joining?
- Somatic Group Therapy for Anxiety (1st & 3rd Wednesday of the month)
- Somatic Group Therapy for General Needs (2nd & 4th Wednesday of the month - AFTERNOON)
- Somatic Group Therapy for General Needs (2nd & 4th Wednesday of the month at noon - EVENING)
Insurance or self pay?*
- Anthem BCBS
- United Healthcare / UMR
- Aetna
- Cigna / Evernorth
- Anthem Medicaid
- Self Pay ($45 per group)
If your insurance is not listed here, we are not in your network. You can call your insurance company and inquire about any out of network benefits you might have. In order to work with us, you would need to be a self-pay client with the potential of being reimbursed by your insurance company. We are happy to supply Superbills.
Are you currently or ever been an active client of Elle for any of the below services?*
- Current client
- Previous client
- I have never been to Elle before.
If you would like to share your goals with Kristen for this group, please do so below.
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