Therapist Matching Form
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Email *
Thank you for inquiring about therapy services at Houston Anxiety and Wellness Center. We can't wait to start our work together! 

Please fill out the below questionnaire to be matched with the right therapist or counselor for you or your child.

One of our Client Care Specialists, Kim or Lindsey, will be in touch with you within 24 business hours to let you know which therapist you've matched with and to schedule your initial appointment.

Questions? Reach out to info@houstonanxiety.com or give us a call at (832) 205-8120.
Your Name *
Email Address *
Phone Number 
*
Phone calls will only be used for scheduling & administrative purposes.
Age of Prospective Client *
What are you looking for most in your search for the right fit therapist? *
Please share some brief background in to what you would like support with to help us match you with the right therapist. *
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