Beech Tree Consulting & Psychological Services

Our Clinicians
Patient Center
Services
Careers
Contact

Appointment Request

Please note –

As of 11/20/20, all new patient and ongoing appointments will occur via telehealth until at least January 15, 2021. If you are interested in in-person services, you are welcome to complete the request below and can be placed on a waitlist.

We make every effort to respond to your request within one week by email. If you have not heard from us, please check your spam folders or contact us again.

If you would like to request an appointment at Beech Tree, please complete and submit the form, below.

Name of person to be seen *

First

Last

Name (if parent/guardian)

First

Last

Date of birth of person to be seen *

Email *

Phone *

Reason for appointment *

I would like to receive services *

In the office
By telehealth

Telehealth refers to services delivered by HIPPA-compliant video chat. Please note services are telehealth only until at least January 15, 2021.

Requested Service *

Therapy
Assessment
Both
Unsure

Please note earliest possible availability for assessment is January 2021.

Do you have a specific clinician you wish to see? *

If your requested clinician does not have availability would you prefer

To be placed on a waitlist
To be referred to another clinician

When would you be available for appointments?

Will you be using health insurance to pay for services? *

Please note our licensed psychologists (Drs Crain, Hoffman, Pratt, and Snethen) are In-Network with Anthem/BCBS and can bill Out-of-Network for most other plans. Dr. Luebcke, S. Bagato, E. Birch, and K. Singer can accept Caresource Medicaid and will soon be in-network with other Medicaid plans. Visit our Insurance and Fees page for more information.

Name of Health Insurance Carrier *

How did you learn about us?

Physician/Professional Referral
Personal Referral
Google
Psychology Today
IOCDF
Other

Fax

317 780 5755

Mail

6411 South East Street, Suite A
Indianapolis, Indiana 46227

Need directions?

Phone

317 780 5750

If You're in Crisis

If you feel you’re in crisis, call the crisis line or visit the nearest emergency room. The crisis line is available 24 hours a day, 7 days a week. If you are in crisis, please seek help immediately.

Local Crisis Line 317 251 7575

National Crisis Line 1 800 273 8255

Text HOME to 741741

Home
Our Clinicians
Patient Center
Services
Contact

6411 South East Street, Suite A
Indianapolis, Indiana 46227

317 780 5750 phone
317 780 5755 fax

IN CRISIS?

Local Crisis Line 317 251 7575
National Crisis Line 1 800 273 8255
Text HOME to 741741