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Ready to Start Your Counseling Journey in Omaha With Bear Company Counseling?
Let’s take the first step together.
FIRST:
Fill out the form below completely and accurately. Innacuracies can lead to the front desk not following up.
Second:
Once complete, you will be directed to our online portal to fill out another form that will notify our front desk of your submission.
Third:
After both forms are completed and submitted, please give up to 24 hours for our front desk to reach back out to you.
Do You Prefer Text or Call
Text
Call
What Time Should We Reach Out To You?
Between 9:00am - 12:00pm
Between 12:00pm - 3:00pm
Anytime after 3:00pm
I am available whenever
Do You Have Insurance ?
Yes
No
Insurance Provider (If Applicable)
United Healthcare Community Plan (Medicaid)
Molina Nebraska (Medicaid)
Blue Cross Blue Shield of Nebraska
Blue Cross Blue Shield Premier Choice
United Health Care (Private Insurance)
UMR
Optum
Aetna
Midlands Choice
Cigna
Medica
HealthPartners
Nebraska Probation Voucher
Other
If you DON'T have insurance are you planning to Self-Pay?
Yes
No
What Type of Services Are You Looking For ?
Adolescent Counseling
Adult Counseling
Family Therapy
Couples Therapy
Depression Counseling
Anxiety Counseling
Grief Counseling
Trauma Therapy
Court-Ordered Therapy
Substance Use Evaluation
Co-Occurring Evaluation
Family Support Services
**PLEASE READ & CHECK** By completing this form, I understand that I will be redirected to Bear Company Counseling's online portal where I will need to finish my inquiry for services. By completing this form it does not guarantee or establish services yet, rather it will guarantee someone from the front office to follow up with my inquiry.
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Get started today before this once in a lifetime opportunity expires.
