Request appointment | Alabaster Counseling

Payment method

How do you plan to pay?

Primary Insurance Carrier

Insurance card upload

Upload a photo of your insurance card

If Medicaid, please list your specific plan:

Limited to 600 characters

Member ID #

Relationship of the Primary Insurance Holder to the Client

Do you have a Secondary Insurance Plan?

If Yes, Enter name of plan

First & Last Name and Date of Birth of Primary Insurance Holder

If not the same as client

Limited to 600 characters

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.