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Please fill out the information below and we will respond with a therapist or coaching recommendation within 24 hours. 

The types of therapy that we are interested in:
Please indicate preferences below:
Our fee per 50 minute session varies based on life experience, clinical experience, training, education (master's, doctorate), and special certifications. Please indicate the fee you are able to pay and we will do our best to match you with the appropriate professional.

Information shared on this intake form may be viewed by members of our staff in order to match you with the therapist or coach who is the best fit for you. 

By entering your information, you will be added to our mailing list however you will be given the option to unsubscribe at any time.  

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