Arise Psychological Wellness and Consulting, PLLC

Who would be receiving care?

My partner and me

Someone else

Your info

First name

Last name

Phone

Name you go by

Date of birth

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State

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Administrative

Referral source

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Billing & Payment

Payment process

Licensed psychologist are in-network with BCBS and Aetna; clients can receive superbills to provide insurance for out of network reimbursement. Trainees can only be seen self-pay at lowered rate.

Insurance: BCBS (most plans accepted) Insurance: State Health Plan (Aetna) Insurance: other Aetna (most plans accepted) Self-pay: Licensed Psychologist Self-pay: Trainee under Licensed Psychologist supervision at lowered rate

Client Preferences

Is there anything that the practitioner needs to know?

For example: what you'd like to focus on, past diagnoses, etc.

Limited to 600 characters

If you have participated in therapy in the past, how was that experience for you?

In what ways was it helpful or unhelpful?

Limited to 600 characters

If you have participated in therapy in the past, how did that experience end?

Limited to 600 characters

Would you be willing to work with a therapist-in-training as your therapist, under the supervision of one of our licensed psychologists?

For more info: https://arise-nc.com/clinical-education-program-description/

Only interested in working with a licensed psychologist Willing to work only with UNC graduate student therapist Willing to work only with Duke psychiatry resident therapist Yes, willing to work with either

If we do not have current availability, would you like to be on a wait-list for our next availability with a supervised therapist?

Yes, please put me on the waitlist for a supervised therapist No, I only want immediate care if it becomes available No, I only want to work with a licensed psychologist

If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

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.