Free 20-Minute Discovery Session Request
Thank you for your interest in working with Deconstruct Health to get you on track to recovery!

In order for us to make the most out of your discovery visit, please answer the questions below and we will get back to you within 1-3 business days to schedule your appointment.
Email *
Full Name *
Age *
Pronouns
ex. He/Him/His, She/Her/Hers, They/Them/Theirs, etc.
Phone Number *
Write out phone number using only digits.( Ex. 3104444444)
Which City, State are you located in? *
How did you find out about us? *
What service(s) are you interested in? *
Required
Discovery Visit Location Options *
Preferred Day(s) and Time(s) *
Required
Please provide a brief summary of the problem you are looking to discuss. *
What have you tried to address this problem? How effective were the treatments/providers at addressing the problem in the short term? How effective were the treatments/providers at addressing the problem in the long term? *
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