Let’s work together Name * First Name Last Name Email * Phone (###) ### #### State * New York Other Insurance (optional) Please select the name of your insurance provider, or select None; if you do not have insurance. --None-- UnitedHealthcare Oxford Health Plans Cigna Aetna UMR Oscar UHC Student Resources AllSavers UHC Meritain Nippon United Healthcare Shared Services Allied Benefit Systems - Aetna Surest (Formerly Bind) Health Plans Inc. UnitedHealthcare Global Christian Brothers Services - Aetna Optum Live & Work Well (EAP) Trustmark Health Benefits - Aetna Trustmark Health Benefits - Cigna Trustmark Small Business Benefits - Aetna Health Scope - Aetna Optum Emotional Wellbeing Solution (Premium EAP) How did you hear about us? Option 1 Option 2 Therapy Concerns (optional) All information you share remains confidential. Thank you!
