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    Appointments and Scheduling

    How do I schedule an appointment with you?

    Click the Schedule an Appointment button at the top right of any page.

    Can I see you in person?

    No. I no longer have a physical location, I do telehealth exclusively. It’s normal for clients to feel a little hesitant about it, but most of my clients have enjoyed it. I encourage you to give it a try.

    What if I’m in crisis?

    Resources available here

    What is the link for my telehealth appointment?

    The link is in every confirmation email you receive for every appointment you schedule with me. You can also always shoot me a text to 810.652.5342 and I’ll send it to you if you can’t find it. It’s always the same link so you’ll want to be sure to bookmark it.

    How do I refer someone to you?

    First, thanks for your interest in sending someone my way! That’s the highest compliment you could possibly give me. The best way to refer me is to send clients to this website you’re on now, which is https://DavidFlowersTherapy.com.

    What are your days/hours of availability?

    M/W — 4 pm to 8 pm (last session at 7)

    T/Th — 10 am to 2 pm (last session at 1)

    F — 10 am to 2 pm, current clients only, no intakes (last session at 1)


    What is your specialty?

    Couples counseling. 81% of working therapists say they work with couples, but only 12% have sought specialized training in couple counseling. This is a concern because working with couples is a completely different thing than working with individuals. Special training is essential to do it well.

    View my approach to helping couples

    Can I see you for couple counseling without my partner?

    Yes. Sometimes you’d be surprised how effective couple counseling can be when only one partner is even interested. We may or may not be able to use insurance to cover it, though.

    Do you work with clinical issues like anxiety and depression?

    Yep. Fill out an inquiry form and let me know what you’re seeking help with, and I’ll let you know if I might be the right person for you.

    Do you work with children?

    I will sometimes work with teenagers age 15 and up. It depends on the issues and my schedule. I do not work with children under 15.

    Can you prescribe medication?


    Will you be my therapist from now on?

    For most people a time will come when you meet your treatment goals and it’s time for us to wrap up. I will discuss this with you as we go.

    There are times I am ethically required to terminate therapy with you, like if you’re having suicidal thoughts that are getting more and more serious so I think you need in-person treatment. In these cases I will clearly explain the situation to you and provide you with referrals. Depending on your situation, I may refer you to an intensive outpatient or partial hospitalization program.

    It will be up to you whether or not you follow my recommendations. But I’d recommend it!

    Portal Issues

    Schedule appointment: New Client

    1. Click Schedule an Appointment at top right of any page on my website

    2. Select New Client

    3. Work through the prompts, and you’re all set

    Schedule appointment: Current Client

    If you are already one of my clients (this means you have scheduled at least one appointment on my portal before), but don’t remember how to schedule another appointment…

    1. Click Schedule an Appointment at top right of any page on my website

    2. Select Existing Client

    3. Work through the prompts, and you’re all set

    I didn’t get the link to fill out my intake paperwork

    1. Go to https://davidflowers.clientsecure.me

    2. Select Existing Client

    3. Submit your email address

    4. Check your email Inbox for a link from me

    5. Click on that link to go to the portal and do your paperwork. It is on the Documents tab.

    Onboarding Issues

    What does the onboarding process involve?

    From the time you contact me on my site and hear back that I can see you, onboarding (getting “registered” with me for your first appointment involves three steps:

    1. Schedule appointment on my website (top right of every page).

    2. Click on link in your email to submit your legal/intake paperwork.

    3. Set up your Spruce account at https://spruce.care/david-flowers. After this is set up, I will use Spruce exclusively to communicate with you. No regular text messaging, so you’ll want to keep the app on your phone.

    These steps must be completed at least 24 hours before your first appointment, or appointment will be cancelled and you will be able to schedule for when you can have the paperwork finished.

    I didn’t get the link to fill out my paperwork

    1. Click Schedule an Appointment at top right of any page on my website

    2. Select Existing Client

    3. Submit your email address

    4. Check your email Inbox for a link from me

    5. Click on that link to go to the portal and do your paperwork

    I’m not a very techy person. What if I can’t get through the onboarding process?

    I understand technology isn’t for everybody. But because I’m all-telehealth, all clients must do all onboarding steps as directed here. If you struggle to get through the steps, please let me know and I will be glad to either help you, or get you a list of referrals.

    Insurance & Payment

    What insurances do you accept?

    Here are all the insurance companies I work with.

    • Blue Cross/Blue Shield
    • Blue Care Network
    • Magellan
    • McLaren
    • Beacon Behavioral
    • Optum
    • Priority Health

    Note: Most of the time you will not be able to use your insurance for couple counseling.

    Will you verify my insurance benefits?

    No. You’ll want to call the 800 number on the back of your insurance card to do this. If you are hoping to use insurance to cover couples counseling (rarely works), don’t ask if they cover couples counseling. Ask if they accept billing code 90847.

    When you sign my payment agreement, you agree to be responsible for all fees charged to your account.

    What forms of payment do you accept?

    Credit/debit cards; cash; personal check (if I’ve seen you more than three times); HSA; and of course insurance if I accept insurance from your provider.

    What do I do after I have verified my insurance benefits?

    Snap a picture of the completed form, then email to me at [email protected], or text to 810.652.5342.

    How do you do billing?

    If you pay cash, your card will swipe automatically at midnight the day of every session for whatever you owe.

    If you’re using insurance, your card will swipe for the amount of your copay (if any), then you’ll get monthly statements from my biller with anything you owe from that point. The bill will tell you how to pay.

    What if I have a question about my bill?

    Text me on Spruce and ask me to send you the phone number for my biller, and they’ll handle it for you.

    Social Media

    Can I be your friend on Facebook?

    I do not have clients as friends and contacts on my social media accounts. Here’s where my practice is publicly available for you to follow:

    Facebook: DFCouplesTeletherapy

    Twitter: @DFlowersTherap

    Quora: https://www.quora.com/profile/David-11179.

    Finally, I maintain a blog here on my website, which you can access from the main menu.

    Can I comment on your posts on your Facebook practice page?

    Absolutely. I may or may not respond to your comment.

    Can I use text/email to contact you anytime?

    If you have scheduling, billing, onboarding, or other questions, feel free to contact me. If you are in crisis, you can try to reach me, but I may or may not be available. The vast majority of what happens between us should happen in session.

    These communication methods are not extensions to therapy, they are mostly for business.


    How does telehealth work?

    See my telehealth page


    Can you supervise my post-grad hours?

    See my supervision page.


    How long are sessions?

    All sessions start at the top of the hour and are 50 minutes long. At quarter to the hour, I will let you know we have five minutes to wrap up.

    Will you write a letter so I can get an emotional support animal?

    I don’t do this. The common thinking now is these letters should only be written by mental health professionals who have specific training on using emotional support animals as an adjunct to therapy. Someone with this training will typically want to meet your animal and do an evaluation.

    Unfortunately I do not know any therapists who have this training so I cannot refer you to anyone.

    Can you testify in court, or write a letter to the court?

    Reports I send to court will include only the date you began seeing me, how many sessions we did, the last date I saw you, a statement about whether or not you cooperated in session, and whether or not, in my opinion, you met the treatment goals we laid out. I will not issue opinions on your fitness as a parent, or predict whether or not you will be a risk to yourself or others. There are forensic mental health workers who specifically fulfill these kinds of functions for the court.

    I will do my best to resist all attempts of one client to force me to testify against another, such as a couple I was seeing who gets a divorce and one wants to use my testimony against the other.

    Can you come speak to my group?

    There’s probably nothing I’d love more. Contact me and let me know the topic you’re thinking about and the rough time frame. I’ll get back to you to discuss details.