To make an appointment or to obtain additional information regarding services we provide, please complete the form below or call 816-399-4204.

[contact-form to=’’ subject=’Metis Counseling Appointment Request’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Address’ type=’text’ required=’1’/][contact-field label=’City’ type=’text’ required=’1’/][contact-field label=’State’ type=’text’ required=’1’/][contact-field label=’ZIP’ type=’text’ required=’1’/][contact-field label=’Phone’ type=’text’/][contact-field label=’Email’ type=’email’ required=’1’/]

Let us know when you’d like your appointment. We can’t guarantee a spot will be available at the time you choose. We’ll contact you to finalize your appointment.

[contact-field label=’Desired Date’ type=’text’ required=’1’/]

Indicate whether you prefer to be contacted by phone or email and state when the best time would be to reach you for scheduling.

[contact-field label=’Contact Method’ type=’select’ required=’1′ options=’Phone,Email’/][contact-field label=’Contact Time’ type=’text’ required=’1’/]

If you are not the patient, please provide the patient’s name.

[contact-field label=’Patient Name’ type=’text’/]
[contact-field label=’Payment Method’ type=’select’ required=’1′ options=’Insurance,Self Pay,Not Sure’/]

If you selected Insurance, above, please indicate insurance company and plan below:

[contact-field label=’Insurance Company’ type=’text’/]

[contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form]