Unfortunately, due to the high demand for services, I often need to put new clients on a waitlist before I can fit them into my regular weekly schedule. Since I understand the urgency of beginning treatment, I will use this list to get clients on board as soon as slots become available!

Sign up now!

Name

First Name

Last Name

Email

You will receive updates via email for available slots.

Phone

(We will not send unsolicited text messages or calls.)

(###)

###

####

Services needed

Individual Therapy

Couples Therapy

Family/Teen Counseling

How did you hear about my services?

What insurance do you have?

Are you a Florida resident?

(I currently only serve FL residents at this time!)

Yes

No

Message

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Yes, I want to submit this form.