Request appointment | TBF Counseling LLC

Request an appointment

What are your main concerns or goals? What do you think I should know about you right now?

For example: what is bringing you to therapy (e.g., anxiety; depression; trauma; grief; life transitions; etc.); what you'd like to focus on; what do you hope to get out of therapy; insurance or payment question; etc.

Limited to 600 characters

Have you seen a therapist before? If yes, what was helpful or not helpful?

Limited to 600 characters

Any past or current mental health diagnosis/es? If yes, please note here.

Limited to 600 characters

Any history of self-harm, suicidal thoughts, suicide attempts, or hospitalization for mental health? If yes, please note which of these and when.

Limited to 600 characters

Do you use alcohol, tobacco, cannabis, or recreational drugs? If yes, what do you use, what frequency, and what quantity?

Limited to 600 characters

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.