Request an appointment. Name * First Name Last Name Email * Phone * (###) ### #### What is your age? * First Name Last Name Why are you seeking counseling at this time? * What kind of appointment would you like? * Initial counseling session 15 minute consultation (meet-and-greet) How did you hear about Hawks Prairie Counseling & Coaching? Insurance & Fees * I have reviewed the page about insurance and fees and understand that Lisa will provide me with a monthly superbill for services that I can submit to my insurance company if I choose to seek reimbursement. I am aware that she is an out-of-network provider and understand payment is due at the time of service. Yes Thank you for reaching out! We will be in touch.