How would you like us to contact you? *

Phone call

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Text

If you were a referral or other, please let us know here:

Are you looking for in-person or telehealth sessions? *

In Person ( Clinton, UT)

Telehealth ( Utah Residents Only)

A mixture of both

What are you hoping to work on in therapy ? this questions is to assess the best fit for you for therapy so basic details is enough. The therapist will ask you more details in the future. *

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