Request for services

To be added on the waitlist for services, please fill out the form below. We will contact you when we have an opening and are able to schedule you with a therapist.

Insight request for services form

Legal name (First, Last)

Parent/guardian name (if minor)

Preferred name (if different than above)

Pronouns

Email address

Phone number

Current insurance (If changing as of 2025 please list)

Date of birth

Psychiatric medications (list any)

Concerns with alcohol or substance use (yes, no or unknown)

Prescribing doctor (if on psychiatric medications)

Why are you seeking treatment?

How were you referred to Insight Counseling & Wellness

3 + 4 =

If you would prefer to call in for services, we can be reached at (608) 244-4859

NOTE! If you are having suicidal thoughts or thoughts of self harm, please contact 9-1-1 and/or the resources listed below.

WI Suicide & Crisis lifeline (Phone or text): 9-8-8
Mental Health Crisis Line: 608-280-2600
National Suicide Prevention Lifeline: 800-273-8255
Trevor Project LGBTQ Lifeline: 866-488-7386

Returning clients

You may only schedule online if you are a current client of Insight.

Click the button below to access the scheduling portal.

Access scheduling portal

Counseling

We can address issues such as, depression and anxiety, post-traumatic stress, communication and conflict resolution, anger management, recovery from abuse, relationship issues for couples and families or problems adjusting to life changes such as the death of a loved one, divorce, the loss of a job, relationship or pet. Please contact us at (608)-244-4859 or use the Request for Services online form above.

Fees

For individual, couple or family psychotherapy, our rates are:

PhD Level: $295 for Intake, $275 for ongoing sessions
Masters Level: $245 for Intake, $235 for ongoing sessions
QTT/In Training: $185 for Intake, $160 for ongoing sessions

If you cancel within the 48-hour time frame or fail to call or contact the clinic, you will be subjected to a $100 fee.

Insurance

Many, but not all, of our therapists accept the following insurances. Please call us to confirm:

Dean Health Plan
Quartz
Group Health Cooperative (GHC)
Blue Cross/Blue Shield
Care Wisconsin
The Alliance
Comprehensive Community Services (CCS)
iCare
WEA Trust
Medicaid (Badgercare)
NOTE: We can only accept some types of Badgercare Plus. Questions? Call us at 608-244-4859.

Telehealth by Simple Practice directions

Click below for detailed directions on how to connect with your therapist via phone or computer.

Download PDF of telehealth directions

Seven steps to making your session go smoothly

1. PORTAL – Please familiarize yourself with our patient portal (Access scheduling portal) link above.

2. DIRECTIONS – Download the PDF directions (Download PDF of Telehealth directions) link above.

3. CONSENT – Make sure you have signed the Consent for Telehealth in your patient portal before your first virtual session with your therapist.

4. PRIVATE SAFE PLACE – Please find a private space for your session. Sessions will NOT be conducted if you are in a public space. If you at home and family are present, you must inform us for our records. If the environment is not conducive to having a session, you therapist may decide not to complete the session.

5. VOICEMAIL – Make sure that your voicemail is both set up and not full to allow for receiving appointment notifications and/or calls from your therapist.

6. BLOCKED NUMBERS/CALLER ID – Clinicians may need to reach you, which means they will be calling from blocked numbers. If your phone or service plan prevents blocked numbers, they will not be able to reach you and you will not be able to call them back directly. If you call our main number, you may not reach any office staff.

7. CREDIT CARD ON FILE – You must have a credit card on file for copays/amounts toward deductible if your insurance does not cover the full cost of each session.