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Client Portal

About
Edges Wellness Center

Our Team

Nicole Urbach

Executive Director

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Mark Reese

Clinical Director

Learn More About Mark

Ariel Vang

Client Coordinator

Learn More About Ariel

Our Logo

At Edges Wellness Center, our labyrinth logo symbolizes the intricate, winding journey of the human mind—complex, layered, and deeply personal.

Like a labyrinth, the path to understanding ourselves is not linear, but full of turns, pauses, and moments of reflection. For the LGBTQ+ community, this journey often includes navigating identity, resilience, and healing in a world that doesn’t always offer clear or welcoming paths.

The labyrinth reminds us that every step inward is an act of self-care and courage, and that finding our center—again and again—is essential to mental wellness. It’s a symbol of returning to oneself with compassion, presence, and the reminder that we are never truly lost—only in the process of becoming.

Our Commitment to You

At our clinics, we are deeply committed to creating a space where you are seen, heard, and valued in the fullness of who you are. We honor the richness of your identity—including your gender, sexuality, erotic orientation, spiritual path, and relational model—and recognize how systems of oppression can impact your mental health and healing. Our practice centers the experiences of LGBTQ+, disabled, Indigenous, immigrant, neurodivergent, and BIPOC communities, offering affirming, trauma-informed care rooted in justice, accessibility, and respect. You deserve support that is inclusive, compassionate, and grounded in your lived reality—and we are here to walk with you every step of the way.

We appreciate your interest in Edges Wellness Center. Please fill out and submit the short form below and our Client Coordinator will be in touch shortly to discuss next steps and care options.

Full Legal Name *
Preferred Name (if different)
Pronouns
Date of Birth *
Parent or Legal Guardian Full Name (if applicable)
Email Address *
Phone Number *
Your State:
Preferred Contact Method (please select one) *
What type of therapy are you seeking? *
Do you have any specific preferences in terms of providers?

This could include if you would like to request any of our practitioners specifically, the availability your provider would need to match with your schedule needs, or if you have a type of therapy you prefer your therapist use.
What do you hope to address in therapy? 

To the amount that is comfortable, please briefly describe below.
What days and times would work best for your schedule? *
What meeting setting do you prefer?  *
How do you plan to pay for your services? For questions about rates and accepted insurances, visit our services and fees page.



Insurance Information

Why are we asking for your insurance information up front? 

We ask for your insurance details up front because it helps us match you with the provider who best fits your needs and coverage. Some of our clinicians are in-network with certain insurance plans, while others are not. Knowing this information from the start helps you avoid unexpected costs and makes sure we set you up with the right care from day one.  

What is your current active insurance? 
Feel free to select multiple options if you have multiple active insurances. We will ask for copies of your insurance cards in the future in order to verify eligibility.
What is your primary insurance member number?  *
What is your primary insurance group number?  *

Consent to Treat & Bill for Services

By entering my name below, I give permission for the evaluation and/or treatment of myself (or my minor child whose name appears as the Client on this document).  If the services require precertification to activate my benefits, I authorize the release to my insurance or managed care company any necessary information for the precertification.  I authorize the release of any information necessary to receive reimbursement or to collect service fees.  

*We will NOT bill your insurance until after you have completed a session with your provider *
How did you hear about Edges Wellness?  *
Is there anything else you would like for us to know?