Consultation Request Form
Welcome to Living Purpose Mental Health Counseling, PLLC. We want to thank you for considering us in your journey towards your Mental Health and well-being. Please fill out the following questionnaire to help us understand your needs and how we can best support you. 

At our practice, we believe that everyone deserves access to quality mental health care, regardless of their financial situation. That's why we offer a range of options to make therapy affordable, including sliding scale fees, Probono Scholarships. We welcome Loveland Foundation Vouchers, work with Open Path Collective services, and now accept some major insurances. Our commitment is to ensure that therapy is within reach for those who need it most. 

This is a request for a free, 15-minute consultation

Please note, we are a fully Telehealth practice, licensed to practice in the states of New YorkNew Jersey, and Connecticut

Thank you again, for your consideration. ---
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