Wild Oak Therapeutic Farm, LLC

Who would be receiving care?

Someone else

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Client Preferences

What concerns bring you to seek therapy for yourself or your child? Please describe in a few sentences your primary concerns, goals, or questions so we can better understand how to support your family.

Please note: Our practice is out-of-network with all insurance companies. Payment is due at the time of service. We provide a detailed superbill after each appointment that you may submit to your health insurance for possible out-of-network reimbursement. Reimbursement depends on the specifics of your individual policy.

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For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

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.