Crystal Masheff

Phone*

Age*

Email*

What is your insurance?*

Please provide the 3 letter prefix of your member ID*

Are you seeking to have an intake with a provider who can prescribe medication?*

Yes
No

Which service are you most interested in?

Which services are you most interested in?

Preferred Sessions*

Preferred Sessions

Teletherapy
In Person Therapy (Bloomfield Hills)
Either Is Fine

Preferred Times*

Morning (9am-noon)
Afternoon (1pm-4pm)
Evening (after 5 pm)
Weekend (Saturday and Sunday)

If you or your loved one is experiencing active suicidal ideation or any other mental health emergency, please call 911, go to your local emergency room or call National Suicide Prevention Lifeline at 800-273-8255. While we are working as fast as we can to accommodate the increased demand for mental health services, we are NOT a good fit for acute mental health emergencies

*Please note that we are able to accommodate requests for morning and afternoon appointments faster than evening and weekend appointments

What are you struggling with right now?*

How did you hear about us?*

Email

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she/her/hers