Growing Mindset Therapy Contact Form

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Chances are, if you’re visiting this page there is something in you that is asking for help.

Please do NOT complete this form for emergencies. If you or someone you know is experiencing a psychiatric emergency please call 911 or go to your local emergency room. National Suicide Lifeline: Dial 988 or call 800-273-8255

Name (first + last) *

Phone number *

May we leave a voicemail? *

Yes

Email Address *

What is your preferred method of contact? *

Phone (selecting this option gives us permission to leave a voicemail)

Text message (selecting this option gives us permission to send you a text message)

Email (selecting this option gives us permission to send you an email)

In a few short words, please tell us what prompted you to reach out. *

In what state do you live / work? We have therapists licensed in NJ, & FL. *

How did you hear about us? *

In submitting this form, you are providing consent for Growing Mindset Therapy to contact you via phone and/or email. *

I agree

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