Progressing Minds New Client Inquiry

Before submitting

We typically respond to new inquiries within 1–2 business days. This form is not monitored continuously and should not be used for emergencies or urgent concerns.

First name

Last name

Email address

Phone Number

What service are you interested in?

Individual Therapy Group Therapy Psychological Assessment Professional Consultation Workshop / Presentation Not sure / Other

How would you prefer to meet?

In person in San Antonio Telehealth Either in person or telehealth

State of residence

Briefly, please tell us what brings you to Progressing Minds.

What days and times generally work best for you?

Please include any general scheduling preferences or limitations.

How did you hear about Progressing Minds?

Google / Online Search Psychology Today Healthcare Professional Friend or Family Member Current or Former Client Professional Colleague Other

I understand that Progressing Minds is a private-pay practice and does not participate with insurance plans.

I understand that Progressing Minds does not provide emergency or crisis services and that this form is not monitored continuously. If I am experiencing an emergency or need immediate assistance, I should call 911, call or text 988, or go to the nearest emergency department.

Submitting this inquiry does not establish a professional relationship or guarantee availability.

Your information will be encrypted.

Before submitting

We typically respond to new inquiries within 1–2 business days. This form is not monitored continuously and should not be used for emergencies or urgent concerns.

Progressing Minds, PLLC

www.ProgressingMindsTX.com
14310 Northbrook Dr #260, San Antonio, TX, 78232