DCLLP Schedule Request
Let us know when you’re available so we can work to get you in asap!  Just fill out table below of days/times that will generally work out.  
Once we hear back from you, we will text you to let you know what time we have available so it's confirmed!
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Email *
What is your first and last name?
 *
What is your cell #?
 *
Are you a new client?
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If you answered "yes" above, can you tell us how you heard about us as well as what you're seeking counseling for?
Pick days of the week and times here that work!
8am
9am
10am
11am
12pm
2pm
3pm
4pm
5pm
Monday
Tuesday
Wednesday
Thursday
Friday
If your schedule is really flexible, please let us know which best describes it.
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If there is a specific date you would like to request, let us know:
MM
/
DD
/
YYYY
If there is a specific date (or a week) you are out, please let us know here so we know that option is out for you so we don't bother offering you a time that's not going to work.
If there is anything else you'd like to let us know, please do so below.  Thank you for taking the time to fill this out.  We will get back to you ASAP to let you know what date(s) we will have you scheduled. 
Also, if you'd like to learn more about how to sign up for DCLLP Concierge Services (where you have access to many benefits such as access to my appointments calendar 24/7 or online counseling), click here!
A copy of your responses will be emailed to the address you provided.
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