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Schedule Your Visit

If you are interested in scheduling an appointment with us, please fill in the information below and we will reach out to you shortly!

Our therapists schedule their appointments personally. When you call, you may have to leave a message. All calls will be returned promptly, typically on the same day.

Please include a phone number where we can call you along with a good time to reach you in your email message. We are eager to speak with you and will call at our earliest possible convenience.

Privacy Note: Your information is considered highly confidential and will never be shared or sold to a 3rd party.
Patient Name*
First Last
Is this patient under 18?*
- Yes
- No
Your Name (parent/guardian)*
First Last
Primary Phone #*
Email Address*
- I do not have an email address.
Preferred Day(s):
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Preferred Time(s):
- Morning
- Mid-day
- Afternoon
- Evening
What type of insurance do you have?
Please provide any additional information you'd like us to have.
How did you hear about Mindful Psychology and Wellness, LLC?
Name
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Compassionate, emotionally intelligent care for a variety of mental health issues.

We provide confidential, effective, and emotionally intelligent care for a variety of mental health concerns. Mindful Psychology & Wellness, LLC, is a mental health clinic offering assessment and counseling for children, adolescents, adults, couples and families.