New Clients | True North Therapy

Brian has limited availability for new adolescent and adult individual clients.

Jayne has limited availability for new adult individual clients who can schedule appointments before 3pm.

Scott is available for new adolescent male and adult individual clients.

We are unable to accommodate marital/couples counseling requests.

Prospective Client's Legal Name *

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Prospective Client's Date of Birth *

Name of Person Completing This Form *

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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 *

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