Thank you for your interest in therapy with Dr. Harwood! The following information will be collected in order to best serve your needs within scheduling constraints. If you are not contacted within one week of your inquiry, Dr. Harwood is not able to accommodate you in her current caseload/schedule. Please reach out to her at reh.phd@gmail.com with any questions. NOTE: Do not disclose any personal/medical information on this form. By completing this form you are consenting for Dr. Harwood to contact at the phone number/email provided.