Request an Appointment

Please correct the errors described below.

Please note: At this time, all appointments are being scheduled as (telemental health/telehealth) as we do not have any face to face counseling appointments available. If you request a face-to-face appointment, we will place you on our waitlist and reach out to you at such time as a face-to-face appointment becomes available.

Client Information

Date & Time

Please indicate which days work best for you
We offer appointments as early as 8:00 AM and as late as 6:30 PM

About Your Appointment

Please select your insurance carrier or select "none" for private pay/cash.
If there's anything else that you would like me to know prior to your appointment, please include it here.

Important Information Regarding Forms Requests (FMLA, Disability, etc.)

I understand that clinicians licensed by the Arizona Board of Behavioral Health Examiners (AZBBHE), including LPCs, LACs, LMSWs, LCSWs, LMFTs, LAMFTs, and others, are not authorized to complete Family Medical Leave Act (FMLA) forms, disability documentation, or any other forms that require a physician’s signature. As such, Dynamic Counseling and Coaching Solutions, L.L.C. and its staff are unable to accommodate requests for the completion of such forms.

Telehealth/Teletherapy

I understand that if I am submitting a request for teletherapy with a clinician employed by Dynamic Counseling and Coaching Solutions, L.L.C. that “teletherapy” includes consultation, treatment, transfer of medical data, emails, telephone conversations and education using interactive audio, video, or data communications. I understand that teletherapy also involves the communication of my medical/mental information, both orally and visually.

SMS Opt-in (Optional)

By providing your phone number, you consent to receive text messages from Dynamic Counseling and Coaching Solutions, L.L.C. for appointment reminders and other communication related to your appointments.

  • You can opt-out of receiving text messages at any time by replying "STOP" to any message.
  • If you need assistance, reply "HELP" to any message.
  • Message and data rates may apply according to your mobile carrier’s terms.
  • Your consent to receive text messages is not required to purchase goods or services from us.
  • By providing your phone number, you acknowledge that you have read and agree to our Privacy Policy and Terms and Conditions, which outline how we handle your information, including texting.

Your information will be encrypted.

Dynamic Counseling and Coaching Solutions

At Dynamic Counseling and Coaching Solutions we believe whole people connecting with one another enhances the well-being of the family and the community. Similarly, people living and working together as whole communities will make the world better for all of us. To this end, Dynamic Counseling and Coaching solutions fosters the kind of individual growth that comes from intentional change by promoting health, healing and restoration.

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