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Please include as much information as possible.

Please note that we currently only provide services to individuals over the age of 21. 

We do not offer evaluations for the RMV, LTC, or fitness for duty.
 
Birthday
Month
Day
Year
Service Requested
Individual Therapy
Anger Management Group
Psychological Testing
Probation evaluation
Would you like to be seen:
In person, In the office
Telehealth
No preference, first available
Birthday
Month
Day
Year
Service Requested
Individual Therapy
Anger Management Group
Psychological Testing
Probation evaluation
Would you like to be seen:
In person, In the office
Telehealth
No preference, first available

Intake Paperwork

In order to get you scheduled, you must first complete the appropriate intake paperwork. You should have received a link in your email. If you did not receive it, you may access it here. Please make sure you select the correct paperwork.

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Anger Management Group

https://forms.gle/4Vc3T6JGroNMF6waA

 

Mental Health or Substance Use Evaluation

https://forms.gle/m8oRs3GrPdWo9mXD7

 

Individual Therapy

https://forms.gle/6iRZ7cJjKDiUTSbS6

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