Please note that at this time, we are not accepting Medicaid or any Managed Medicaid or Medicare Plan. *

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Check all that apply *

I've had suicidal thoughts in the past 2 weeks

I am battling with an addiction to substances

I am battling with an eating disorder

I suffered a traumatic experience in the past 2 weeks

I have difficulty with impulsive behaviors

None of these apply to my situation

We only offer Telehealth appointments. Please check to confirm you've read this stipulation. *

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Please confirm that you have read our fees and agree to being contacted by our office. *

https://www.breakthecycleoftrauma.com/our-fees

I have read the fee statement and would like to proceed with a psychological evaluation.

Please confirm that you are above the age of 18 *

I am 18 years or older.

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Can we leave a message in your voicemail? *

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