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About
Our Team
Denise Adams
Jodi Svoboda
Jim Tobin
Shannon Grieve
Emily Small
Morgan Stevens
Sara Cuomo
Bryan Bieniek
Rose Miller
Bijon Sutton
Susan Kleck
Ana Milenina
Arthur Robinson
Milena Mitie Kanashiro Pena
Shandel Williams
Services
New Clients
Insurance
FAQ
Resources
Events
Ready to Take the Next Step? We're Here for You.
Have questions or want to schedule an appointment? Just fill out this form or give us a call. We’ll get back to you as soon as possible. We look forward to connecting with you.
Please read our FAQs before filling out the form below.
Perspective Client Intake Form
Patient's Name
Patient Date of Birth
*
required
Email
Phone Number
Insurance Provider
Choose an option
Reason for Appointment Request
Service(s) Requested
*
Required
Invididual Therapy
Couples Therapy
Family Therapy
Preferred Location(s)
*
Required
In-Person
Virtual
No Preference
Preferred Appointment Time(s)
Early Morning (7am-9am)
Late Morning (9am-12pm)
Early Afternoon (12pm-2pm)
Late Afternoon (2pm-5pm)
Evening (5pm-8pm)
Any Time of Day
Submit
We do NOT take Medicaid or Medicare at this time.
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