Waitlist Intake Form
Thank you for your inquiry regarding Akoma Counseling Concepts services. Currently, we are not accepting new clients. However, if you wish to be considered on the waiting list please fill out the intake form. We cannot provide timelines for wait list times at this moment.
Email address *
Name: *
Email address *
Phone *
How soon are you looking to schedule your appointment?
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The issue(s) I am seeking to treat in therapy (in 4 sentences or less):
Have you been to individual therapy before?
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This form was created inside of Shuler Strategies Group.