Appointment Request Form / Consultation Call

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Please complete the form below.

By law, we are licensed to work with clients in Texas only

Important Notice: This form does not guarantee a consultation. This form is for non-urgent inquiries only and is not monitored for emergencies. We do not provide crisis or same-day services for prospective clients. If you are experiencing a mental health crisis or a medical emergency, please do not use this form. Instead, seek immediate help by:

  • Calling 911 or going to the nearest emergency room
  • Calling or texting 988 to connect with the Suicide & Crisis Lifeline
  • Texting HOME to 741741 to reach the Crisis Text Line and speak with a trained counselor

Your safety is the priority—please reach out to these resources if you need immediate support.

Your information will be encrypted.

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