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Our waitlists for children, adolescents, families and couples are is OPEN. If you would like to enroll in one of our groups please fill out the form below and we will be in contact to get the process started, our waitlist for those services may be shorter. If something does not pertain to you on this form just write n/a.

To register for services please email us the following information pertaining to your health insurance at

  1. Insurance Plan Name

  2. Insurance Number on the card

  3. Name of Subscriber

  4. DOB of Subscriber


Please submit the information below:

List services are you interested in:
Preferred Therapy Modality
Do you Prefer In-person or Virutal therapy appointment?

Thank you! Your message has been sent and we will be back in touch with you soon.

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