Schedule Now Is this scheduling request for a child under 18 years of age or for a family?*YesNoImportant!!! Unfortunately, our office is no longer providing adult therapy services. We will continue seeing children, adolescents and families. If you need adult, mental health, or substance abuse services, please go here.Name* First Last Phone*Email Date of Birth* Date Format: MM slash DD slash YYYY Preferred Time(s) of Day Morning (8-10) Midday (11-1) Afternoon (2-4) Evening (5-7) Preferred Day(s) of the week Monday Tuesday Wednesday Thursday Services Requested Individual Therapy Group Therapy Family Therapy Co-Parenting Program Preferred Therapist No Preference C.J. Quick, LPCC-S, LMFT, RPT-S Beth Larimore, LPCC-S Sarah Reynolds, LCSW Chris Longoria, LCSW, RPT Krista Mitchell, CSW Type of Insurance/Payer Anthem Blue Cross/Blue Shield Passport Humana CareSource Aetna Better Health of KY Wellcare of KY Aetna Humana United Health Care/UBH/UMR Cigna GEHA Tricare Medicaid Other Any additional Requests or Information you'd like us to know...