New Clients | True North Therapy

Jayne is available for new adult clients who can schedule appointments before 3pm.

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

Scott is available for new adult 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 *

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Phone Number for Contact *

How May We Contact You? *

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Health Insurance Company (or Self-Pay) *

Prospective Client's Scheduling Availability *

Briefly Describe Your Current Concerns *

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