Request session with Tiffany Acuff, Masters Level Intern

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Thank you so much for your interest in counseling with Tiffany Acuff. If you do not hear back within 1-2 business days, please check your junk/spam folder for a reply.

Please fill out the following form so we can connect back with you to schedule a session.

First and Last Name *

Email Address *

Phone number

Type of Counseling *

Couples

Individual

Families

Teens

Children 5 and up

Which do you prefer? *

Telehealth

In Person

Are you in need of a sliding scale/financial assistance? *

Yes

Please let me know the days/times you are available for counseling. Tiffany is available Monday 10-2pm, Tuesday 5-8pm, Sunday 8-12 *

If referred, please list referral source: *

Please list any information that you would like me to know: *

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