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On-line Consultation Request Form

On-line consultations are available in three options: telephone calls, video conferencing and email. If you select video conferencing or a phone consultation, our staff will contact you to schedule a time. If you select email, you will receive an starter email within 72 hours. Feel free to call us to schedule an appointment 954-436-1222.

Video conferencing sessions will be completed using Skype, a free application that allows for secure chat, as well as phone/video chat options.

Telephone consultations can be done with Skype, a free application, or you can contact our office at a pre-scheduled time. Some people are more comfortable with this than video conferencing where the therapist and patient can see each other.

Email Consultations. Some people find they are better able to express themselves in writing. Email exchanges allow you to send me detailed information about your situation, taking as much time as you need to express yourself fully. You can also refer back to what we’ve written, as needed.  As part of the consultation, an email with feedback, suggestions and recommendations will be sent within 72 hours. If you would like a response within 24 hours an additional fee for an expedited response will apply. You can pay for one at a time or get a package at a discount.

Please complete the form below providing a bit of information about yourself and which of our consultation options most interests you.

***PLEASE NOTE – ONCE YOU HAVE COMPLETED THIS FORM A LINK WILL BE SENT TO YOU SO THAT YOU CAN BEGIN RECEIVING CONSULTATION SERVICES. THE LINK WILL PROVIDE PAYMENT OPTIONS AND PRICING SO THAT YOU CAN CHOOSE WHICH SERVICE(S) BEST MEET YOUR NEEDS.

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