Lotus Counseling Services, PLLC Send Message

Who would be receiving care?

Your info

Select the state you live in
Reason for care
Select any options that feel relevant to you. This helps us understand how to best support you. You may choose more than one.
We serve individuals aged 18 years and older. All appointment provided via telehealth.
Administrative
Do not upload sensitive financial information such as credit card information.
Billing & Payment
If using insurance, please upload your insurance card below. This allows us to verify your insurance benefits and provide you with a cost estimate.
Upload a photo of your insurance card
Client Preferences

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. You also agree not to submit any payment information, including credit or debit card details, through this form.