Prescreening for Evaluation or Coaching
This form is initial information for Dr. Milliken. Submitting this does not guarantee and appointment. Please be aware Dr. Milliken:
1) Does not accept insurance for any of her services. Rather, she has a fixed cost schedule for services.
2) Has limited openings for coaching. Most clients continue for 6-12 months
3) Does not offer therapy services, preferring to work from a coaching model
4) Works primarily with adults for coaching
5) Uses a comprehensive diagnostic interview and does not offer psychoeducational testing.

If you are seeking a service that is not listed below, you may wan to seek an alternative provider

Kirsten Milliken, PhD, PCC
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Has the client been previously diagnosed with any mental health disorder? *
Please briefly describe the purpose of the appointment request and relevant background *
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Email to send schedule link *
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