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Therapy Inquiry Form: Evolve Counseling LLC

Thank you for your interest in Evolve Counseling.  I review this information on a weekly basis to determine if prospective clients are an appropriate fit for the practice and will reach out to you to either provide referrals, or schedule a future appointment/ confirm your slot on my waitlist.  

Please note that Evolve Counseling is not a crisis line and these responses are not monitored 24/7.  If you are struggling with a crisis, please scroll to the bottom for a list of referrals below.  You are not alone and there are many organizations in our community who are able to provide support to you if needed.  If you are seeking weekly counseling support, please fill out the referral form below.

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Email *
Name *
Phone Number  *
What is your health insurance, or do you plan to private pay? *
Who are you seeking therapy for? *
Areas of concern that bring you to therapy today: please select all that apply  *
Required
Please describe your top 3 goals for treatment  *
How did you find out about Evolve Counseling? *
*Please scroll to the bottom and hit submit.  Your response is not recorded until you hit submit*

See below for a list of crisis resources in our Lincoln Community.
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