|Pre-Call Questionnaire

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Our 20 minute initial consultation call is an important step in deciding whether Slow Down Psychology, LLC can meet your family's mental health needs. Let's not waste time with logistics! Please verify that you understand the following before booking our consultation call. If the answer to any of these questions is "no," then we are likely not able to meet your needs at this time.

Email *

Your first name *

Whom can I thank for your referral?

I understand that there may NOT be after school availability *

Yes

Other:

I understand that everyone with legal/ medical decision-making rights to my child (e.g., both parents) must consent to treatment. *

Yes

All parents/primary caregivers are ready to be active participants in my child's therapy *

Yes

I understand that telehealth services are only provided to residents of Maryland or New York *

Yes

Other:

I understand that Slow Down Psychology, LLC is not in-network with any insurance companies. *

Yes

Other:

I have read and understand the "Services" page: https://www.slowdownpsych.com/services *

Yes

Other:

If you have answered "yes" to all of the above questions, please briefly describe the services you are seeking. Do not include names. *

Phone number and best time to reach you *

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