TRENDING:
Art Therapy as a Road to the Subconscious
Bearing Fruit
The Jerk: A Dynamic in Couples Counseling
About IPG
About IPG
Fees and Insurance
“Insights” Blog
Video Tour
Join our Practice
Locations
Westfield
Maywood
Springfield
Little Falls
Our Therapists
Westfield Therapists
Springfield Therapists
Maywood Therapists
Little Falls Therapists
Telehealth Therapists
Administration and Billing
Psychotherapy Services
Psychotherapy and Mental Health Counseling
Therapy Through the Life Stages
Overview of our Intake Process
Recommended Outside Providers and Facilities
Educational Resources
Group Therapy
Group Therapy (Healthy Minds Series)
DBT Skills Group (women)
Virtual DBT Groups
Virtual Grief Support Group
CBT for Depression Group
OCD Group
Men’s Anxiety Group
Registration for Healthy Minds Group Therapy
Biofeedback
Biofeedback Stress Management
Biofeedback Interest Form
Art Therapy
About Art Therapy
Art Therapy Interest Form
Contact
Initial Appointment Request
Practice Policy Documentation
Practice Policy
Policy for Treatment of Minors
Privacy Regulations
Instructions for InSync Patient Portal
Update your Information
Update your insurance information
Update your personal information
Billing FAQ’s
PAY BILL
Contact Us
Select Page
Biofeedback Interest Form
Please complete the form below, and we will be in touch with you shortly.
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Phone
*
Select which kinds of issues you are seeking Biofeedback Services for:
*
Headaches
Insomnia
Chronic Pain
Fibromyalgia
Hypertension/Cardiac conditions
Diabetes management
Addictive behaviors
Gastro-intestinal problems
Anxiety/Depression/ADD
Panic/PTSD
Arthritis/Rheumatological problems
Tell us a little more about your interest in Biofeedback. Where did you hear about it? Are you being referred by a medical doctor?
*
Are you currently a patient at IPG?
*
Please select
Yes
No
What's your therapist's name?
Submit
