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Home
Services
About
Contact
Resources
Book An Appointment

Search for:

Home
Services
About
Contact
Resources
Book An Appointment

Book An Appointment

Book An Appointment

Beyond Broccoli, LLC is credentialed with Blue Cross Blue Shield of Wyoming for both psychotherapy and nutrition services. If your plan covers these services we will bill BCBS directly. You are responsible for any claims that are not reimbursed by insurance. Please note that many outpatient nutrition services may not be covered by insurance.

Name*
First Last
Phone*
Email*
Ok to receive calls or texts at this number*
- Call
- Text
Ok to receive emails at this address*
- Yes
- No
How do you prefer to be contacted?*

Phone Call, Text, or Email
Type of Service(s)*
- Nutrition
- Therapy
- Free 15 minute consultation to determine next steps
- Group/Class
Do you currently have health insurance?
- Yes
- No
Who is your provider ?
HIPAA Privacy Notice
I have reviewed the Privacy Policy:*
- Yes
Client rights and responsibilities are important to us at Beyond Broccoli. Please review our HIPAA and PHI privacy agreement here. Copies of these forms are found in your initial intake packet, signed and dated by clients and clinicians.
Questions/Concerns?
For your protection and confidentiality, do not enter personal information pertaining to your mental health condition on this form. Include your phone number and the best time to get in touch with you, and your request will be answered in 1-2 business days.

COVID-19 Update

To keep everyone safe, only telehealth services are currently available at Beyond Broccoli.

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CONNECT

New Group: “Coping During COVID”

After almost 9 months of the pandemic we are all ready for this nightmare to end. The constant state of uncertainty, lack of control, isolation, and other stressful situations have challenged many of our usual coping strategies.

Let's Get Started

Let's Get Started

I look forward to connecting with you.

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