Prospective Client Screening

Please correct the errors described below.

Thank you for your contact and interest in becoming a client. Please answer the following questions about yourself and the reason for seeking therapy at this time. The following questions should help me ascertain if we would be a good fit and that telehealth is an appropriate level of care for your needs.

Please only enter the contact information that you feel comfortable being contacted on, even though the call back may come from a blocked/unlisted number for your privacy.. By entering this information, you consent to being contacted and to receive messages.
Serious Suicidal thoughts may include: a plan or intent, or recent attempts (within the last 12 months).
Such as Borderline Personality Disorder, Antisocial Personality Disorder, etc.
Please make sure that Dr. Pedroso is in-network with your plan prior to starting services by contacting them directly as we do not verify coverage.

Your information will be encrypted.