Faye Bader | SimplePractice

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What are you looking to address in counseling?

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What kind of care is being sought?

Individual Counseling Couples/marriage counseling Counseling for my child

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Administrative

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Questions about therapy costs, insurance coverage Questions about treatment approaches or specialties Check therapist availability, scheduling, wait time Other

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Client Preferences

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

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.