Request an Initial Appointment
Hello!

Thank you for your interest in Holistic Community Therapy.

While our current capacity is full, we are excited to add you to our waitlist for future openings. By completing the form below, you'll be joining our waitlist for potential future sessions. Rest assured that your information is confidential, and we will notify you as soon as a spot becomes available. Please note that at this time, we do not have a specific timeline for when this might occur, but we will keep you updated as space opens up.

If you plan to use insurance for your appointments, or if you have one of the insurances we accept, a signed referral from your primary care provider will be necessary. This can be any prescriber. Please download the referral form provided below, have your provider complete and fax it to our office. For security reasons, please avoid emailing this form.

Additionally, while Holistic Community Therapy specializes in working with adults with mental health conditions and cognitive changes, we understand the importance of finding the right fit for your needs. The following providers may also offer services that align with your goals. Please consider reaching out to them as well:
Thank you for your patience as we work to accommodate your needs. Your well-being is our priority, and we look forward to potentially working with you in the future.

Warm regards,

Holistic Community Therapy 

Sign in to Google to save your progress. Learn more
Email *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Holistic Community Therapy, LLC. Report Abuse