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Client Intake Form

Please fill out the following form to help us understand your mental health needs so that we can match you with one of our mental health professionals. Once you submit the form we will contact you. 

Will you be paying for services out of pocket or using insurance?

Thank you for contacting us. We will be in touch shortly.

Stressed Woman

get the help you deserve

We understand that finding the right therapist can be a daunting task, but we're here to help. Once you've found the therapist that's right for you, simply call your email for an appointment. Our therapists are dedicated to helping you achieve your goals and we can wait to see you thrive.

address

6331 Constitution Drive

Fort Wayne, IN 46804

              

6339 Constitution Drive

Fort Wayne, IN 46804

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hours of operation

Mon.- Sun.   9:00 am- 7:00 pm

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