Mozes and Helen Stern Counseling Center
Please fill out the following fields to schedule an Intake Appointment with a Upward Community therapist. Once we receive the request someone will get back to you as soon as possible.
To prepare for an Intake Appointment please fill out the appropriate form:
- Client over 18 with PPO insurance
- Client over 18 without insurance
- Parent packet for child under 18 with insurance
- Parent packet for child under 18 without insurance
After filling out the appropriate form above, please download and fill out the Credit Card Authorization Form below and scan it back to us at email@example.com.
Note: We currently only accept, BCBS PPO, United HeathCare, Aetna, Meritian, and Cigna.