Book an Appointment With Derrick Miller

To book an appointment with Derrick, please fill out the form below. He will make sure to connect with you as soon as possible.

If you are in a life threatening emergency or having thoughts of suicide please call the following numbers immediately.

Emergency Services: 911
National Suicide Prevention Lifeline: 1-800-273-8255 (TALK)
Crisis Text Line: Text HOME to 741741

Name

First Name

Last Name

Phone

Who is your insurance provider?

Blue Cross Blue Shield of MI

Blue Care Network

Priority Health

Aetna

I will not be using insurance/private pay

Which service are you requesting at this time?

Have you been in therapy before?

If you answered "Yes", please provide additional details: When were you last treated, what was the focus of your most recent session, and can you describe the progress you have made through your previous therapeutic experiences?

Please write (N/A) if you answered no to the previous question.

How did you hear about Derrick?

What style of sessions would you prefer?

*Waitlist Available*

Private Pay Rates:

Individual: 55 minutes @ $150

Couples: 55 minutes @ $200

ACCEPTED INSURANCES: Aetna, Blue Cross Blue Shield, Blue Care Network, Priority Health, and Private pay.

Medicaid including Blue Cross Complete is not accepted.

ACCEPTED PAYMENT METHODS: Visa, MasterCard, Discover, and American Express.
HSA/HFA cards accepted.

My services are not appropriate for individuals with pending legal cases in which mental health documentation is needed or if Social Security/Short-long term disability documentation is needed.