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Interested in 

Being a Client

Thank you for reaching out to Therapy is my J.A.M., LLC.


Please take a few minutes to tell me a bit about yourself so that I can learn about your needs, and how best to serve you.

What is today's date?
Birthday
Are you a resident of Maryland or Washington D.C.? (I am only licensed to see clients in these two areas)
Which therapy services are you interested in? (ONLY BCBS & Cigna Insurance is accepted)
Individual (BCBS Insurance)
Individual (Cigna Insurance)
Individual (Private Pay - $150)
Couples (Private Pay - $180)
Are you currently struggling with any of the issues below?
Do you currently have any thoughts or desire to harm yourself or someone else?
Yes
No
Do you have any history of suicide attempts or suicidal ideation in the past?
Yes
No
What days would be best for regular appointments?
What times would be best for regular appointments?
Would you like a 15 minute intro call?
Yes, I'd like to speak to you before I book a session
No, I'm ready to book my first session

Would you like to stay in touch by subscribing to my newsletter where I share upcoming events and the Monthly Jam (journal prompts, affirmations & mindfulness challenges)?

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