To schedule a free 15-minute consultation, please complete the form below. We will respond to your inquiry within 24-48 hours of your submission. Thank you! Please complete the form below. Name * First Name Last Name Age * If under 18, you will need parent/guardian consent to move forward with therapy. Email * Phone * (###) ### #### What is the best way to contact you? * phone call email text Do you reside in Texas? * What are you seeking help for? * Have you been experiencing suicidal ideation? * Will you need FMLA, disability, or workplace accommodations paperwork completed? If so, please provide more detail. * How would you pay for your sessions? * Insurance Self-pay Which insurance will you use? * Please list the name of your insurance plan How did you hear about us? * Thank you for your submission. We will review your request and get back to you within 24-48 hours. If you are in need of emergency support, please either visit the emergency room or contact 911.Thank you,Kindall Tyson, M.Ed.,LPC-S, NCC, CCATP
