To make your first appointment, complete and submit the following form. Please provide as much information as possible so that we can match you with the most appropriate therapist. This information is kept private, and will not be shared with anyone outside of The People's Therapy Group.

After submitting the form, you will be contacted within two business days to schedule your first appointment.

Name *
Name
Preferred Phone *
Preferred Phone
Alternate Phone
Alternate Phone
Do you have a preference for how you will be contacted?
Can we leave a message at the phone number(s) you provided? *
Have you ever been in therapy before?
Availability for Appointments *
Time of Day Available *