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In Connect About Services with Theo
Thank you for your interest in working with Theo Reinert (he/they), an advanced year graduate level social work intern under supervision of Shir Wolf, LCSW-C at Wolf Therapy and Consulting, LLC! 

Please fill out this form to connect with Theo and Shir regarding services with Theo.

After submission of this form, someone will reach out to you for follow up within one week.

For questions or support with the form, email: contact@wolftherapyandconsulting.com

For more information about Wolf Therapy and Consulting, please visit: https://wolftherapyandconsulting.com/

Link to this form: https://tinyurl.com/theowtc 
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Email *
Individual Therapy Flyer
Group Therapy Flyer
Name (the name you go by and want to be called) 
 *
Pronouns *
Phone Number (xxx-xxx-xxxx)
 *
Your Information
This portion of the form gathers information about you/the potential client, if you are inquiring on behalf of someone else, and the service(s) that you are interested in. 

For questions or support with the form, email: contact@wolftherapyandconsulting.com
If you are inquiring for services about another person, please write their name and pronouns 
If you are inquiring for services about another person, please list your relation to the person
Client's Date of Birth *
MM
/
DD
/
YYYY
Client's Age *
Please use whole numbers only (e.g., 26)
Are you interested in individual therapy, group therapy, or both? *
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