Waiting list for outpatient psychotherapy for the Pagano Wellness Clinic
While filling out this form places you on the waiting list at the Pagano Wellness Clinic, it does not guarantee that you will be seen. It is important that you attempt to schedule sessions with other therapists in the area if at all possible. Using
or your insurance provider directory can help you find other clinicians with availability.
Filling out this form does not make you an active patient of the Pagano Wellness Clinic.
Although scheduling in the order received is our priority, if we have a slot that does not fit your availability we will move on to the next person in line. If you want us to contact you regardless please check the box under availability for this option.
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This form was created inside of Pagano Wellness Clinic.