The Growth Center Waiting List

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Please complete the form below and we will reach out to you when we have an available appointment that meet your needs. If you are in immediate need for therapy services, please contact the number on the back of your insurance card, call 211, or 911 if it is a true psychiatric emergency.

Email *

Your name *

Preferred Pronouns *

Phone number *

I'm looking for *

Individual Therapy

Relationship Therapy

Group Therapy

In a few words, what is bringing you to therapy at this time? *

I am interested in working with *

Next available provider

Brie Sutton, LGPC

Brianna Veres, LGPC

Caroline Unger, LGPC

Erin Bowman, LGPC

Monique Rodriguez, LGPC

Octavia Sykes, LCSW-C

Availability Preference (please include all available days) *

Do you have insurance coverage, and if so who is your insurance carrier? *

If you don't have insurance coverage for mental health, what is your estimated annual household income? We use this as a starting place for determining your sliding scale rate. *

Were you referred for services by anyone? *

Are you a past client of The Growth Center? And if so, who was your therapist? *

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