Name * First Name Last Name Email * Phone * (###) ### #### How did you find out about Hungry Heart? * Website Psychology Today VT Counseling Network Instagram Other Are you planning on using insurance? * I am only in network with BCBS. If you are insured by a "cousin" BCBS plan such as Anthem or CBA Blue, please select "Yes" below Yes, I am insured by Blue Cross Blue Shield No, I plan to private pay When is a good time for us to meet? * You can expect to receive an email with an invite for a 10-15 minute Zoom meeting within the window of availability you provide Which Hungry Heart Program are you most interested in? Individual Therapy EMDR Extended Session Hungry Heart Experience Self-Sufficiency Program What are 3 of your strengths? Please provide some information about your current experience and goals for treatment * Thank you!Please add hungryheartvt@gmail.com to your contacts or check your spam folder regularly for a response to your inquiry Request a consult today.