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What are you seeking consultation for?
Individual or Group Therapy Requests
Public Education Requests
Psycho-Educational Training Requests for Employees
Please provide your name and organization if applicable.
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Please provide the best phone number or email address to contact you for scheduling purposes.
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What day works best for you to meet with a clinician?
Monday
Tuesday
Wednesday
Thursday
Friday
What time of day works best for you?
Morning
Lunch Hour
Evening
How would you prefer to meet?
Telehealth via Zoom Video
Telehealth via Phone
In person
No preference
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