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IMPORTANT NOTICE: This form is not intended for urgent matters and will not be read immediately.
For urgent assistance: Dial 988 for the National Suicide and Crisis Lifeline.
Dial 911 for emergency services or go to the nearest emergency room.
Warm lines (no police intervention): https://www.inclusivetherapists.com/crisis
Request for Services Form
Currently Accepting New Clients (ages 11+)
We are currently not offering complimentary consultations due to limited availability and the high demand for services at our practice.
Please Note: We do not accept any form of Medicare or Medicaid at this time.
Our team will review the information provided and, based on current availability and your identified needs and preferences, recommend an appropriate provider whenever possible. Please allow 3-4 business days for a response.