Request an Appointment

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Please note: At this time, we have a very limited number of face-to-face counseling appointments available and only individual counseling appointments are currently being offered face-to-face. If you request a face-to-face appointment, you may be placed on a wait list for 6-8 weeks or more.

Most of our counseling and coaching sessions are being conducted by video (telemental health/telehealth) and this form is built primarily for that purpose.

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.

I understand that if I am submitted 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.

I understand that if I am submitting a request to engage in face-to-face counseling, I may be placed on a waitlist for 6 to 8 weeks or more,

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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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