Request edit access
Waitlist Intake Form
Thank you for your inquiry regarding Akoma Counseling Concepts services. Currently, we are not accepting new clients. However, if you wish to be considered on the waiting list please fill out the intake form. We cannot provide timelines for wait list times at this moment.
How soon are you looking to schedule your appointment?
The issue(s) I am seeking to treat in therapy (in 4 sentences or less):
Have you been to individual therapy before?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service