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Urban Garden

The Intake Process

Below you will find a form for inquiry. The form takes less than a minute to complete.

Once this is submitted, I will receive an email with the information you've given me. I will respond as quickly as I can to schedule your free consultation. 

During our consultation, we will discuss what you'd like to achieve in therapy, your comfortability with Telehealth services and to make sure this is a good fit for you. 

Lastly I will collect your insurance information and have that submitted to your providers so we can get started! Once your insurance is approved we can begin sessions rather quickly. 

Intake Form

Birthday
Month
Day
Year
I'm interested in
Individual Therapy
Couple's Therapy
Therapy for my child
Which insurance do you carry?
I prefer to be contacted by:
Which state do you live in?
Wisconsin
Florida
Vermont

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