New Client Appointment Request

Existing clients, please use the portal to schedule appointments.

Request a Therapy Appointment in Eagan, MN

Looking for a therapy appointment in Eagan, MN? Complete your therapy appointment request to begin counseling with Dr. Brecke Counseling Group. New clients can request an appointment for individual therapy, child counseling, teen counseling, couples therapy, trauma therapy, anxiety treatment, and more.

Welcome!

We are glad you are here.

You are just a few minutes away from taking the next step toward support and healing.

Taking the first step toward therapy is often the hardest part.

You are only 15–20 minutes away from completing your therapy appointment request and beginning your journey toward better mental health.

Don’t give up now.

Quick Fact: Many people who decide to seek counseling never complete the appointment process. Taking action today puts you one step closer to meaningful change.

What Happens After You Submit the Form?

Once you submit the appointment request, our administrator Kirstin, will contact you within 24 hours (Monday–Thursday) to confirm your request and give your our onboarding procedure for scheduling. 

If you have not done so yet, please visit our FAQ Page so you know what to expect at this clinic.

We are committed to your privacy. Please do not include private information regarding your health condition in this form. This appointment request form is for general demographic information to start a personalized portal for scheduling.

Date of birth and gender is required to verify insurance and to start a portal. It must match the info your insurance plan has about you.
**We can only bill the above mentioned plans and only if they are primary insurance plan. We can’t bill a Mediare only plan (if you have commercial HP or BCBS as your primary, then we can). If you see your plan above, this does not guarantee payment. To avoid undue financial burden, call into your insurance and verify your coverage and what your out of pocket expenses will be. We do not bill secondary insurance. Our EHR does not have this option. We do not bill out of network. By submitting this form you are giving us consent to contact you via email or by phone to set up your first appointment. If you choose self-pay, you can request flex spending statements to submit to your insurance if you don’t see your insurance above. ***BY FILLING OUT THIS FORM YOU ARE AWARE YOU ARE SHARING PERSONAL INFO THROUGH A SECURE FORM THAT DOES NOT QUALIFY AS HIPAA COMPLIANT
Select all that apply
Please put N/A if you do not have any preference.
Do not go into great detail because this is not a HIPAA compliant form. Just a few general symptoms.
This checklist is informational only. You will be asked to officially acknowledge these clinic policies, once you sign our clinic policy. Please check each box as they apply.

By clicking ‘Submit’ you agree that the phone number and email address you provided may be used to contact you.

 

— We do not bill out-of-network or secondary plans.

— We cannot bill Medicare only plans (we are not in-network)

Exception: BCBS and HP offer commercial plans as a Medicare recipient. As long as those plans are primary to your Medicare, we can bill your plan.

Please call your plan if you are not sure.

— If your plan isn’t listed or you would prefer full confidentiality of your sessions, you can pay at the clinician self-pay rate and submit for reimbursement. Some plans cover out-of-network services similarly to in-network.

— Completing forms may feel tedious, but it is required by insurance.

Frequently Asked Questions

How long does onboarding take?
We know time is important. This takes 15–20 minutes and is required by all clinics for insurance purposes.

Is this form HIPAA compliant?
This request form is secure but not HIPAA-compliant. Sensitive details about your health are collected inside our Electronic Health Record portal.

Which insurance plans do you accept?
We accept: Blue Cross Blue Shield, Cigna, Health Partners, Medica, UMR, OPTUM, UHG, First Health, Aetna (most plans but not all). See our full Rates & Insurance page for details.

Can I request a specific therapist?
Yes. You may indicate a preference or let us recommend the best fit for your needs.

What happens after I submit the form?
Our administrator will reach out within 24 hours (Monday through Thursday 8am–4pm) to confirm your appointment and guide you through next steps. If for some reason you don’t feel we received your request, you can fill it out again or contact our administrator Kirstin at admin@breckecounseling.com. No this is not a bot or a and AI assistant. It is a real person that lives and works in Eagan.