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OTFC New Client
Welcome to OTFC! If you are interested in scheduling your first session, please fill out this form and someone from our office will reach out shortly regarding scheduling.
**If you are a returning client, please visit
https://www.therapyportal.com/p/otfc/
to schedule a follow-up session through Therapy Notes.
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Name:
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Your answer
Phone Number:
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Email:
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Insurance Provider
*(if you do not have insurance please note "self pay")
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Your answer
What has brought you to seek counseling with us at OTFC?
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Your answer
Do you have a preference for which therapist you would like to begin services with?
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No Preference
David Morrow, Ph.D., LMFT
Jan Hood, LCMHC
Alex Zegers, LCSWA
Kailey Sykes, LCMHCA (not accepting new clients at this time)
Andie Barnett, LCMHCA
Kelly Vickers, LCMHC
Amy Bowers, LCMHC
Abbey Wears, LCAS, LCSWA
Debra A. Midyette, PhD, LCMHC, CRC
Mark Smith, Life Coach
Kim Richards, Life Coach
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