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Schedule With Us
Thank you for your interest in working with us. Please complete this form below to request scheduling with one of our providers. 

After completing this form, we will contact you within 48 business hours with the steps to schedule your appointment. 
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I affirm that I am NOT currently experiencing 
- a mental health emergency
- suicidal ideation/plan/intent
- urges to harm myself or someone else. 
I also affirm that if that changes at any point while I am on the waitlist, I will reach out to 911, my doctor, or my local or national crisis line. 
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