Your Healing Journey Starts Here...
IF YOU'D RATHER FILL THIS OUT WITH SOMEONE OVER THE PHONE, PLEASE CALL US AT 313-288-2689!

These questions help us get to know you and if we have a therapist who would be a good fit.  Even if we don't have anyone who would be a good fit, we'll help you find someone who is.  

If you have any questions please feel free to contact us at info@establishingrecovery.com.
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First Name *
Last Name *
Phone Number (will be used in client portal account) *
Email Address (will be used in client portal account) *
How do you prefer to be contacted by us? *
Required
What's going on with you that's causing you to seek counseling? *
How will you be paying for counseling? *
If you have insurance, what type of insurance plan do you have? *
Required
What is your availability for sessions? *
Required
Are you ok with online sessions? *
What are you looking for from your therapist? *
Required
Do you have any specific preferences for a therapist?
Do you want a specific counselor? If yes, then who?
How did you hear about us? *
Is there anything else you think we should know about?
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