TELEHEALTH ONLY

〰️

TELEHEALTH ONLY 〰️

I am ready to begin my journey.

Your journey begins with scheduling a free 15-minute telephone consultation. It’s purpose is to get an idea of what your psychotherapist is like and whether they are a good fit for you. It is also the time to go over logistics such as session fees and scheduling. You are also encouraged to ask your psychotherapist questions.

Name

First Name

Last Name

Date of Birth

YYYY

Phone Number

(###)

###

####

Have you been to therapy before?

Do you identify as a woman of color?

What are your therapy goals?