Appointments Appointment Request Name * First Name Last Name Email * Phone * (###) ### #### Services Required * Individual Therapy Family Therapy Mental Health Assessment SAP Clinical Supervision Clinical Consultation Administrative Consultation Career Opportunities Preferred Session Type * Preferred Session Type In-Office Only Telehealth Only In-Office or Telehealth Insurance * Blue Cross/Blue Shield Geisinger Health Plan(Commercial) United Health Care Self-Pay Why are you seeking Therapy? * We look forward to serving you! We will get back to you as soon as we can within our business hours, but no later than 48 hours from now. Programs Programs Name * First Name Last Name Email * Select Program(s) * Empowerment Through Connection Mental Health Professional Processing Group Clinical Supervision Upcoming Events Subject * Message * Thank you! SAP SAP Program Name * First Name Last Name Email * Subject * Message * Thank you! Mental Health Assessment Mental Health Assessment Name * First Name Last Name Email * Subject * Message * Thank you! FAMILY REUNIFICATION FAMILY REUNIFICATION Name * First Name Last Name Phone (###) ### #### Email * Court Order Date * Family Members required to Attend * 2 3 4+ Why was Family Reunification Recommended * Thank you! Someone will contact you within 1 business day. 919 MAIN ST, 1st FloorSTROUDSBURG, PA 18360TEL. 570-534-0324 EMAIL: Admin@BlueLotusCCS.com