FMT Standby List

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FMT Standby List

If you would like to be contacted when we have openings for additional sessions, please complete this form!

Participant's Name

Would you like to be contacted to add an extra session in the event of cancellations or sudden openings?

Yes

Clear selection

Where are you currently being seen?

Brevard County Studio

Lee County Studio

In-school

In-home

Virtual

Clear selection

What therapist would you like to be seen by for additional sessions (select all that apply)

Courtney Arndt, MT-BC (Brevard)

Rose Ritter, MMT, MT-BC (Brevard)

Rob Leiter, MS, MT-BC, NMT (Brevard)

Maddie Barr, MT-BC (Brevard)

Mackenzi Mies, MT-BC (Brevard)

Katie Finkelstein, MT-BC (Brevard)

Sophie Emmons, MMT, MT-BC (Brevard)

Briley Massey, Music Therapist (Brevard)

Ashley Uhland, MT-BC (Brevard, Orange, Osceola Counties)

Isy Giltner, MT-BC (Virtual)

Jackie Lemakos, MT-BC (Lee)

Najette Maduri, Music Therapist (Lee)

Hannah Eaton, Music Therapist (Lee)

No preference/Whoever is available

When are you available for music therapy sessions? (Please check ALL availabilities)

Mornings (9AM - 12PM)

Afternoons (12PM-4PM)

Early Evenings (4PM-7PM)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday (Only available in Brevard County)

Though we can't guarantee availability, what is your preferred date/time?

(I.e. my kids get out of school at 4pm,

so 4:15 in home or 4:30 in studio on Mondays or Wednesdays)

What is the best way to contact you in the event of an opening? (Email/Phone/Text) Please also include your preferred email/phone number

Submit

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