Appointment Request Form

Ready to connect with a therapist at Bray Counseling? Our goal is to provide you with compassionate, confidential, and effective therapy.

Please fill out the form below and our intake specialist will respond by the following business day.

To ensure you are matched with the best possible therapist, please let us know a little bit about what is bringing you to therapy or what you are looking for in a therapist. Let us know if you have a specific therapist in mind, certain times or days you need, or other preferences. If you have any specific questions or concerns, please ask.

Insurance Information

If you would like to use your insurance, please provide us with your insurance information in the form below.

As a courtesy to our clients, we will gladly call to verify in-network and/or out-of network insurance benefits and update you prior to your appointment.

Please let us know your insurance ID number.
Please let us know your group number.

Cancellation Policy
Bray Counseling requires 48 hours notice of rescheduling or cancellation. Please note that insurance companies will not provide payment or any out of network reimbursement for missed sessions.