We now offer SPRAVATO® (esketamine) treatment! We’re currently accepting new patients and work with BCBS, BCN, Aetna, and self-pay options.

Royal Oak Location
(248) 291-7709

Ann Arbor Location
(734) 585-5587

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Therapy at Michigan Progressive Health

Helping You Create Meaningful, Lasting Change

Therapy That Meets You Where You Are

EVIDENCE-BASED CARE | INTEGRATED MENTAL HEALTH

TAKE THE FIRST STEP, CONTACT US

Every therapist at Michigan Progressive Health brings unique strengths, training, and clinical interests. Our team regularly collaborates through consultation and supervision, allowing us to combine specialized expertise with a shared commitment to exceptional care.

Whether you’re looking for EMDR, trauma therapy, Accelerated Resolution Therapy, ketamine assisted psychotherapy, or support navigating anxiety, depression, ADHD, or life transitions, we’ll help you find the therapist that’s the best fit.

We invite you to fill out this form so we can better assist you in booking your consult. Feel free to skip any portion that does not apply to you or that you feel is too intrusive. You are always more than welcome to call.

Therapy Contact Form

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Patient Information

First*

Last*

Pronouns

Date of birth

Month

Day

Year

Phone

Email*

Insurance Information

please note we only accept BCBS, BCN, and Aetna at this time

Insurance Provider

BCBS PPO

BCN

Aetna

Other or No insurance

Subscriber Name

Subscriber DOB

Month

Day

Year

Subscriber ID Number

Subscriber Group Number

Treatment Information

What would you be coming to treatment for?

Depression

Trauma/PTSD

Anxiety

Bipolar Disorder

Chronic Pain

ADHD

OCD

Relationship Concerns

Grief and Loss

LGBTQIA+ Affirming Care

Life Transitions

Stress/Burnout

Substance Use

Eating Disorder

*Please note that if your primary concerns are outside of our scope of practice, we may provide appropriate referrals

What brings you to therapy?

Briefly tell us what brings you to therapy and what you're hoping to work on. You only need to share what you're comfortable sharing.

I would like to schedule with

Preferred Location*

Royal Oak

Ann Arbor

Virtual

Do you have any therapist preferences we should know about?

i.e. gender, specific modalities, etc.

Are you currently receiving psychiatric medication management?

Yes - at Michigan Progressive Health

Yes - with another provider

Are you interested in learning about other treatment options (such as psychiatry or ketamine treatment) if your therapist believes they may be beneficial?

Yes

Is there anything else you'd like us to know?

* Please do not include any sensitive health information or personal medical details in this form. This contact is for general inquiries only and is not secure for transmitting private health information.

Preferred Method of Contact

How did you hear about us?

Other: Please Specify

Yes, Please add me to your email mailing list

We respect your privacy.

Michigan Progressive Health is a leader in psychedelic therapies, offering patient-centered care and pioneering ketamine treatment to foster healing and connection.

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Contact us

ROYAL OAK

1010 N. Campbell Rd. Suite 4
Royal Oak, MI 48067
Ph: (248) 291-7709
Fx: (248) 439-0515

ANN ARBOR

2300 Washtenaw Ave. Suite 100
Ann Arbor, MI 48104
Ph: (734) 585-5587
Fx: (248) 439-0515

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MPH is proud to support local artists. All the websites nature photos are from Neil Weaver.