Referrals — Rocket City Wellness Collective

Hi! Thanks for the referral!

This page is for provider referrals only. If you are a prospective client, please visit our homepage to learn more about scheduling an appointment.

Please complete the form below and we will be in touch with the referral in 24-48 business hours. Counselors accept BCBS, ALLKids, and Private Pay. We can supply a superbill if needed. Dr. Kane accepts Aetna and Private Pay. Please note we do not have a couples counselor at this time.

Referring Office

Referring Provider

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Last Name

Office Contact Email

Office Contact Phone

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Client's Name

First Name

Last Name

Client's DOB

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Client's Email

Client's Phone

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Insurance

BCBS or ALLKids

Aetna

Private Pay

Diagnosis or reason for referral

Choose the provider

Emily Kane, MD - Child Psychiatry ages 6 to 26

Tonya Koenigstein, LPC, ATR - Art Therapy, Individual Counseling ages 10+

Rebekah Smith, LICSW - Individual Counseling ages 8+

Heather Lamonte, LICSW - EMDR ages 14+

Ashley Bates, LPC - Individual Counseling ages 7+

Kati Jones, LICSW - Individual Counseling with women ages 17+