Michelle Jewell, Counselor, LMHP Omaha, Nebraska

Forms

Please print and fill out the Registration / Intake Information form and the Privacy Notice & Consent to Treatment form. You will need to bring all documents with you along with your insurance card to the initial appointment. We accept cash or check at this time for your insurance co-pays or self pay.

I look forward to meeting you at our initial session.


Please download and complete for the first visit:
Other forms you may need:

Jewell Counseling Services | Omaha, NE

Jewell Counseling Services provides counseling primarily to Nebraska and Western Iowa, including the following areas: Omaha, Council Bluffs, Fremont, Lincoln, West Point, and Norfolk. Michelle is also available to travel outside of the Omaha region as arranged. Call Michelle at 402-933-6677 or contact her online to set up an appointment.