Request for Wait List
Please provide the following information in order to be added to the wait list.    Because I do not take on additional clients until current clients have completed their work, it is hard for me to know with certainty how long it may be before a time slot opens up.  When I have an opening available, I will send you an email and you will typically have 24-48 hours to respond in order to hold your slot.   I am only in the office on Tues, Wed and Thurs. The earliest time slot in my schedule is 9:00 am and the latest is 2:30 pm.  I am open to in person or virtual sessions.   I am also always happy to provide you with referrals to other counselors as it is most important to me that you get the support you need, whether or not it is with me. Please email me at mandy@drmenzer.com to request counselor referrals.
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Email address *
Phone number *
Full name(s) of clients who wish to participate in therapy *
Date(s) of birth
Type of therapy requested *
Do you have a preference for in person therapy vs. virtual appointments?
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Brief statement (roughly one or two sentences) about why you are coming in *
Method of payment you will use (please contact me if you would like me to check what your out-of-network benefits might be)
Anything else I need to know?
For any additional questions, feel free to email me at mandy@drmenzer.com.  You may also call me at 512-696-1970 although typically it is much easier and faster to get a response via email. 
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