|Pre-Call Questionnaire
Our 20 minute initial consultation call is an important step in deciding whether Slow Down Psychology, LLC can meet your family's mental health needs. Let's not waste time with logistics! Please verify that you understand the following before booking our consultation call. If the answer to any of these questions is "no," then we are likely not able to meet your needs at this time.
Sign in to Google to save your progress. Learn more
Email *
Your first name *
Whom can I thank for your referral?
My child knows that I am looking for a therapist for them. *
I understand that everyone with legal/ medical decision-making rights to my child (e.g., both parents) must consent to treatment. *
All parents/primary caregivers are ready to be active participants in my child's therapy *
My child is between the ages of 7 and 15. *
I understand that there may NOT be after school availability *
I understand that telehealth services are only provided to residents of Maryland or New York *
I understand that Slow Down Psychology, LLC is not in-network with any insurance companies.  *
If applicable, I agree to provide written authorization for Dr. Olarte to collaborate with my child's prescriber. *
If applicable, I agree to provide written authorization for Dr. Olarte to obtain background information from my child's previous therapist. *
I have read and understand the "Services" page:  https://www.slowdownpsych.com/services *
If you have answered "yes" to all of the above questions, please leave your phone number and the best time to reach you. Please do not include any further information. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Slow Down Psychology. Report Abuse