New Clients | True North Therapy

Scott is available for new adult clients.

Brian is available for new adult and adolescent (16+) clients who can schedule appointments before 3pm.

We are unable to accommodate marital/couples counseling requests.

Prospective Client's Legal Name *

First

Last

Prospective Client's Date of Birth *

Name of Person Completing This Form *

First

Last

Email Address for Contact *

Confirm Email

Phone Number for Contact *

How May We Contact You? *

Prospective New Client for *

Health Insurance Company (or Self-Pay) *

Prospective Client's Scheduling Availability *

Briefly Describe Your Current Concerns *

Comment