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Our waitlists for individual therapy for youth is currently closed, it will re-open in May. If you are a returning client please reach out, you will be prioritized on our waitlist. We are still taking adult referrals, PCIT referrals, family therapy and couples therapy, and our groups are still 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. TM referrals can be made by Hubs, please reach out to and request a referral form.

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

  • Insurance Plan Name:

  • Insurance Number on the card:

  • Name of Main Subscriber:

  • DOB of Main Subscriber:

Please submit the information below, If something does not pertain to you on this form please indicate N/A:

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

Thanks for submitting!

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