New Client Interest Form
Thanks for your interest in working with Therapy with Joy! Please answer the questions below so that we can best understand your needs and how to direct your inquiry.
 
Current therapist availability* as of April 2, 2024 - 

Joy - completing this form will add you to her waitlist.

Stephanie - currently taking new clients!



*We cannot provide specific timelines as to when availability will change. We encourage you to seek therapy with someone who has openings for you if we are not able to accommodate your needs. If we are able, we will offer referrals and/or helpful resources, although we cannot guarantee the availability of providers outside of Therapy with Joy. 
Sign in to Google to save your progress. Learn more
Email *
Name: *
Pronouns: (check all that apply)
Phone number: *
Preferred method of contact (check all that apply) *
Required
What days/times are best to reach you? *
Is it ok for us to e-mail you from our @therapywithjoy.com address and/or leave a voicemail on your phone? (check all that apply)

If you prefer for us not to mention "therapy" in our messages, our intake coordinator, Sarah, will identify herself and mention setting up an appointment, but not indicate it is for therapy/mental health services.
 *
Required
Which of our therapists would you like to see? *
If the therapist you prefer to see is not taking new clients, please confirm that you would like to be included on a waitlist to be contacted when the therapist has openings. If this is the case, we may not be able to respond to your inquiry until an opening becomes available.  (If you feel your needs are urgent, we highly recommend you seek care from a provider who has more immediate openings).
 *
What is your preference when it comes to virtual versus in-person therapy sessions? *
If you would like to see Joy, please note that she is taking clients on a limited basis. Because of Joy's specialties and limited availability, we want to ensure she is the best fit for your needs.

Check all that apply to you below.
If you would like to see Joy, please indicate what you are seeking therapy for (check all that apply).
If you would like to see Stephanie, please note that she currently has a waitlist for new clients. Because of Stephanie's specialties and limited availability, we want to ensure she is the best fit for your needs.
If you would like to see Stephanie, please briefly indicate what you are seeking therapy for (check all that apply).
How did you hear about us? *
Required
Do you have any questions or anything else you'd like us to know?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Therapy with Joy, LLC. Report Abuse
Google Forms