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Secure Contact Form for Authentic Alliance
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Email
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Your email
Name (Chosen or Legal Name)
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Your answer
Pronoun
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Phone Number
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Your answer
What Service Are You Seeking?
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Psychotherapy
Group Therapy
Consultation for Therapists (Individual and Group)
WPATH Mentorship
Gender Health Evaluation (Referral Letter)
Other:
If you would like psychotherapy services, are you wanting to use an insurance plan? If yes, which plan do you have--is it a PPO?
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Message
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How did you hear about us?
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Thanks for contacting us, we will reply within 1-3 business days.
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