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How did you hear about us? How did you hear about us? Friend/Family Doctor/Professional My Insurance Company Psychology Today Instagram Facebook Google Search Other

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Select your preferred payment/insurance Select your preferred payment/insuranceAetnaCignaKaiserLyraVA/TriWestPrivate PayOther

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What are you seeking therapy for? What are you seeking therapy for? Anxiety Depression Trauma/PTSD Couples Therapy Relationship Issues Women's health including postpartum Other

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Preferred Therapist: Preferred Therapist:Coralis Solomon, PhD, LMHCLucia Martin, LMHCKristine King, LCSWNo preference

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What days do you prefer for appointments? What days do you prefer for appointments? Monday Tuesday Wednesday Thursday Friday

What are your preferred timeframes for your appointments? What are your preferred timeframes for your appointments? Mornings (7-9am) Late Mornings (9-11am) Lunch Time (11-2pm) Afternoon (2-5pm) Evening (5-8pm) No Preference

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