Cardinal Psychotherapy | SimplePractice

Cardinal Psychotherapy Send Message

Who would be receiving care?

My partner and me

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Billing & Payment

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Client Preferences

Please list ALL days and times that you are available for sessions, as well as your preferred days and times.

e.g., Weekdays after 4 preferred but daytime appts on M/W/F also okay.

Preferred modality

Please provide a brief summary describing your goals in therapy or the type of support you are seeking

For example: what you'd like to focus on, issues you are facing, and goals for therapy.

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Whose waiting list do you want to be added to (you can choose more than one).

Taylor Nelson Tatyanna McIntyre Jacqueline James Erin Drummer Erin Fox Emma Virden Sarah Sharpe Melody Cahooh Rachel Graf Beth Neu Heather Deveny-Leggitt First Available Clinician I'm Not Sure

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.