I would like to change Marvin Therapist 

Marvin is a strong believer in feedback-informed therapy. Providing feedback to your therapist is optional, but can be very helpful towards achieving your mental health and self care goals. Your relationship with your therapist — particularly during the first 3 to 5 sessions — is often considered a leading driver of therapy success.

However, if you don’t believe that your therapist is the right one for you, you can request to change therapists at any time using the form below and our team will work on 

Sign in to Google to save your progress. Learn more
Email *
Phone number: *
This is used to identify your account
Full Name: *
Therapist Name: *
Reason for request: *
Additional context on the rematch: *
(Optional) Please provide us with additional preferences for your next match (preferred date/time, demographics, etc)
I consent to my current therapist and Marvin Behavioral Health P.C. disclosing notes and documentation relating to my treatment to my new therapist at Marvin Behavioral Health P.C. for purposes of continuity of therapy. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Marvin. Report Abuse