Request an Appointment

Potential Client Name *

First

Last

Please share the name that appears on the clients insurance member ID card, or State ID.

Does client have alternate preferred name? *

Does the client have a name that they prefer to be called other than the legal name listed above?

Please share preferred name. *

Enter the name that the client uses instead of the legal name listed above.

Date of Birth *//

Please verify that this date is correct before moving to the next item. Make sure to change the year section from 2024.

Any Preferred pronouns?

He/Him/His
She/Her/Hers
They/Them/Theirs
Ze/Zir/Zirs

Does the client have any specific pronouns they are most comfortable with. Answering this section is optional as you only should complete it if your comfortable.

Is this referral for a minor client? *

Is the identified client named above over 18 years old?

Is the youth 10 years or older? *

Telehealth is not available for youth under 10 years old. Youth under 10 can not participate in virtual telehealth and will only be able to select in-person session modality.

Whats the youths motivation level for therapy?

Selected Value: 1

Share their rating of possible engagement and motivation for therapy. Please understand that low motivation for therapy will possibly result in a quick transition if the youth does not engage with clinician.

Caregiver Name 01 *

First

Last

Who is the caregiver responsible for the youth?

Email *

Email

Confirm Email

Phone *

Caregiver Medical Decisions 01 *

Is the caregiver mentioned above authorized to make medical decisions for the youth being referred?

Add Another Caregiver? *

Would you like to add information for another caregiver for this youth?

Caregiver Name 02 *

First

Last

Please share information about the other caregiver.

Caregiver 02 Email *

Email

Confirm Email

Email address of caregiver 02 for the youth

Caregiver 02 Phone *

ontact number for caregiver 02

Caregiver Medical Decisions 02

Is caregiver 02 authorized to make medical decisions for the youth being referred?

Upload picture of State ID / Drivers License for the person responsible for payment

Click or drag a file to this area to upload.

You can take a picture with your cellphone and upload it here.

Were you directed to us by an Insurance company or advocate? *

Select yes if you were told about a specific opening or you have a case or referral number.

Do you have a Referral or Case ID number? *

Some insurances or referral providers will provide you with a case ID or other number. If you have one this can increase the chances of getting assigned quicker.

What is the Case # or Referral ID?

Please share the number above exactly as it was sent to you. This helps us match the information we may have already received.

Method of Payment *

Do you have your EAP authorization already? *

The EAP benefits you use before accessing your insurance. In order to use the services the right way, you must request the authorization before starting treatment. Have you done this already? If no, we can give instructions on how to do this.

What Insurance is the EAP through? *

Please share with us if it is KGA, Cigna, AETNA, Workforce, Tufts or any other EAP provider.

EAP Authorization Number *

To use your EAP benefit you will have to ask for an authorization. Please provide that authorization here.

Primary Insurance Member ID / MassHealth # *

If you have commercial insurance please share the member ID here. If you have MassHealth please share both the masshealth number as well as the Member ID for the type of MassHealth you have. This would be two separate member numbers.

Is the client covered by any additional insurances? *

Yes
No

Upload Picture of Insurance card

Click or drag a file to this area to upload.

Please upload a picture of the ID card if you have it. You can use a cellphone to take the picture and email it to yourself for upload here if needed.

What is the second Insurance? *

Secondary Insurance Member ID / MassHealth # *

If you have commercial insurance please share the member ID here. If you have MassHealth please share both the masshealth number as well as the Member ID for the type of MassHealth you have. This would be two separate member numbers.

Insurance 2 Picture

Click or drag a file to this area to upload.

Clinician Gender Preference *

Selecting no preference for Gender will give the client the most possible options for assignment. This is the fastest of all of the choices.

Service Delivery Preference *

No-preference gives the most options as you'll be offered whichever is available first. Be careful when selecting in-person as we have limited space available and the assignment can take longer than the other options selected.

Which GENNEW Location is closest to your home address? *

For possible in person sessions the location will determine clinicians available to you in later steps.

What services are you seeking? (No Preference) *

Life coaching differs from traditional therapy as the assigned clinician will give more solid planning and support, more instructional that anything else.

What services are you seeking? (Telehealth) *

Life coaching differs from traditional therapy as the assigned clinician will give more solid planning and support, more instructional that anything else.

What services are you seeking? (In-Person) *

Life coaching differs from traditional therapy as the assigned clinician will give more solid planning and support, more instructional that anything else.

Session Frequency desired? *

Weekly sessions are the traditional start. This is one session every 7 days. = 4 sessions a month. (Recommended to start on this one) Every Other Week is a reduced frequency being one session every 2 weeks. = 2 sessions a month Monthly is a reduced frequency being one session every 4 weeks. = 1 session a month

1st Choice of Clinician (Any) (No Preference) (Ded) *

These clinicians may be in-person or telehealth, whichever is available first. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available M/F Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Any) (No Preference) (Ded) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First Available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Any) (No Preference) (Med) *

These clinicians may be in-person or telehealth, whichever is available first. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available M/F Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Any) (No Preference) (Med) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First Available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Any) (No Preference) (Prov) *

These clinicians may be in-person or telehealth, whichever is available first. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available M/F Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Any) (No Preference) (Prov) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First Available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Any) (Telehealth) *

These clinicians may be in-person or telehealth, whichever is available first. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available M/F Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Any) (Telehealth) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First Available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Any) (Dedham) *

You may be matched with a male or female clinician but all of the clinicians on this list are available for in-person in the Dedham, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available M/F Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Any) (Dedham) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First Available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Youth) (Any) (Dedham) *

You may be matched with a male or female clinician but all of the clinicians on this list are available for in-person in the Dedham, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available M/F Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Youth) (Any) (Dedham) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First Available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Any) (Medway) *

You may be matched with a male or female clinician but all of the clinicians on this list are available for in-person in the Medway, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available M/F Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Any) (Medway) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First Available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Youth) (Any) (Medway) *

You may be matched with a male or female clinician but all of the clinicians on this list are available for in-person in the Medway, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available M/F Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Youth) (Any) (Medway) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First Available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Any) (Providence) *

You may be matched with a male or female clinician but all of the clinicians on this list are available for in-person in the Providence, RI office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available M/F Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Any) (Providence) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First Available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Youth) (Any) (Providence) *

You may be matched with a male or female clinician but all of the clinicians on this list are available for in-person in the Providence, RI office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available M/F Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Youth) (Any) (Providence) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First Available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Male) (Any) (Dedham) *

You would see matches for all of the male clinicians available within the practice. Sessions could be in-person or through virtual telehealth. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Male Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Male) (Any) (Dedham) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Male) (Any) (Medway) *

You would see matches for all of the male clinicians available within the practice. Sessions could be in-person or through virtual telehealth. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Male Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Male) (Any) (Medway) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Male) (Any) (Providence) *

You would see matches for all of the male clinicians available within the practice. Sessions could be in-person or through virtual telehealth. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Male Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Male) (Any) (Providence) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Male) (Telehealth) *

The clinicians are all male clinicians who will be able to meet virtually through telehealth. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Male Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Male) (Telehealth) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Male) (In-Person) (Dedham) *

Male clinicians available for in-person sessions in the Dedham, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Male Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Male) (In-Person) (Dedham) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Youth) (Male) (In-Person) (Dedham) *

Male clinicians available for in-person sessions in the Dedham, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Male Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Youth) (Male) (In-Person) (Dedham) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Male) (In-Person) (Medway) *

Male clinicians available for in-person sessions in the Medway, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Male Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Male) (In-Person) (Medway) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Youth) (Male) (In-Person) (Medway) *

Male clinicians available for in-person sessions in the Medway, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Male Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Youth) (Male) (In-Person) (Medway) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Male) (In-Person) (Providence) *

Male clinicians available for in-person sessions in the Providence, RI office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Male Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Male) (In-Person) (Providence) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Youth) (Male) (In-Person) (Providence) *

Male clinicians available for in-person sessions in the Providence, RI office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Male Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Youth) (Male) (In-Person) (Providence) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Female) (Any) (Dedham) *

Female clinicians available for in-person sessions in the Dedham, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Female Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Female) (Any) (Dedham) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Female) (Any) (Medway) *

Female clinicians available for in-person sessions in the Medway, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Female Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Female) (Any) (Medway) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Female) (Any) (Providence) *

Female clinicians available for in-person sessions in the Providence, RI office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Female Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Female) (Any) (Providence) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Female) (Telehealth) *

Female clinicians available through virtual sessions only. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Female Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Female) (Telehealth) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Female) (In-Person) (Dedham) *

Female clinicians available for in-person sessions in the Dedham, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Female Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Female) (In-Person) (Dedham) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Youth) (Female) (In-Person) (Dedham) *

Female clinicians available for in-person sessions in the Dedham, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Female Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Youth) (Female) (In-Person) (Dedham) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Female) (In-Person) (Medway) *

Female clinicians available for in-person sessions in the Medway, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Female Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Female) (In-Person) (Medway) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Youth) (Female) (In-Person) (Medway) *

Female clinicians available for in-person sessions in the Medway, MA office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Female Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Youth) (Female) (In-Person) (Medway) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Female) (In-Person) (Providence) *

Female clinicians available for in-person sessions in the Providence, RI office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Female Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Female) (In-Person) (Providence) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

1st Choice of Clinician (Youth) (Female) (In-Person) (Providence) *

Female clinicians available for in-person sessions in the Providence, RI office. We recommend looking through the staff before selecting so that you have a better choice of fit. If undecided on a therapist, it is suggested that you choose (First Available Female Clinician) as it is the fastest option in assigning a client.

2nd Choice of Clinician (Youth) (Female) (In-Person) (Providence) *

If your first choice is not available, who would you like instead. If you do know exactly who you would like to work with, then add it here. If undecided we recommend placing this selection as (First available) so if your first isn't available it will then still search for all other possible matches for you.

Has the partner agreed to also participate in therapy? *

Yes
No

This is important before continuing. It is recommended to not make the referral if your partner does not agree to participate.

Does the partner have insurance of any kind? *

Yes
No

While not mandatory we usually search if the partners insurance would be a lower cost to the couple.

Partners Insurance Member ID *

Partners Insurance card

Click or drag a file to this area to upload.

Please upload a picture of the ID card if you have it. You can use a cellphone to take the picture and email it to yourself for upload here if needed.

Partners Date of Birth *//

Please verify that this date is correct before moving to the next item. Make sure to change the year section from 2024.

What is the partners motivation level for participating in couples therapy?

Selected Value: 1

This initial motivation or interest is important as couples with less than 4 will not be assigned. This prevents wasting the couples time with ineffective treatment. Values can be 1 through 10

Partners Name *

First

Last

Who will be participating in couples therapy with you?

Partners Cell Number *

We would also need to contact the other participant.

Partners email *

Email

Confirm Email

So that we can share the appointment information with them as well.

Do you know of any relatives or friends who are currently receiving services at GENNEW? *

This helps us prevent offering you matches for a clinician that is already working with close matches.

What is the persons name? *

Please let us know the name of the person who is currently at GENNEW.

Please select all of the following which pertain to the client.

What medication? Please add frequency and dosages. *

Please share all medications currently prescribed to the identified client.

Previous Provider *

Please share the name of the provider to which you received the formal diagnosis from.

What was the diagnosis? *

To your best memory please share what the diagnosis were.

Last session with previous provider? *

This helps us understand how long you have been out of therapy.

Reason for therapist transition? *

Can you share why you are no longer with the previous therapist as detailed as possible.

How recent was the last suicide attempt? *

How recent were the Suicidal Thoughts? *

Please share the frequency and the last time to help us understand the situation better. If you are feeling suicidal at this time, please stop completing the referral form and dial 988 to speak with someone immediately.

What is the name of the program or hospital? *

When is/was the discharge date from program or hospital? *

Who are you completing this referral for? *

Please explain your relation to the identified client at the start of this form.

Authorization to make referral? *

Do you have authorization from the potential client to share this referral information with GENNEW? If the answer is no, please stop this referral and obtain written or verbal authorization from the client before submission.

Are you aware that the client or caregiver will receive the information in this referral upon contact? *

If you do not want the caregiver of portential client to see specific information please reconsider what you write within this referral form because a copy is sent to the potential client/caregiver upon completion. If information is sensitive in those regards make the referral and then call the office to add context. (857) 293-5020

Referrer Name *

First

Last

Referrer Email *

Email

Confirm Email

Referrer Phone *

Which days will the client be available for sessions? *

Share what days of the week you can participate in a scheduled session consistently. The sessions will be 40-50 minutes

What time does the youth get home from school? *

This helps us schedule accordingly. Please don't share when is dismissal, but the earliest time the youth could consistently participate via in-person or remote telehealth.

Which times are the client available for Sessions? *

Morning (8am-12pm)
Afternoon (12pm - 4pm)
Evening (4pm - 8pm)
Anytime Available (8am-8pm)

We will try our best to send matches that are within these selections. The more availability you have the more matches that are possible.

Earliest start time for sessions? *

Please specify on each day selected the earliest and latest you can participate in sessions. This helps us determine better matches for you. Please consider after school activities or work related obligations.

What are you seeking therapy for? *

The more descriptive you are the easier it is to assign you a better clinical fitting therapist. Please avoid being vague with "anxiety or Trauma". Get into detail and we will take care of the rest.

Your well-being is in good hands

Request an Appointment