Aligned and Refined Mind Psychotherapy, LLC
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Administrative
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Appointment info
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Prescreener
Reason for care
Administrative
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Contact information
Referral source - How did you find me?
Psychology Today
Alma
Headway
Therapy Den
Referred by PCP
Referred by Psychiatric Provider
Referred by a family member
Referred by a friend
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Do not upload sensitive financial information such as credit card information.
IMPORTANT: Requesting an intake appointment does not confirm your appointment. Please check your email within 24-48 business hours after you've submitted a request. Completion of new client paperwork is required to confirm your appointment. If paperwork is incomplete for longer than 1-week, your appointment request will be cancelled. You are welcome to reschedule once your paperwork is completed.
I understand that completion of new client paperwork is required to confirm the requested appointment date/time. I will routinely check my email and I agree to complete the new client paperwork in its entirety.
If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.
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