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Appointments
Instructions: 3 easy ways to make an appointment.
- Call us at 407-353-3218.
- Click the link to send a confidential email - info@twelvestonescounseling.com.
In the e-mail please provide the information on this form or just a phone number to call.
- Click on this link for a Microsoft Word version of this form so that you can attach in an email to info@twelvestonescounseling.com.
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| Name: | |
| Phone: | |
Address:
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| Phone: | |
Desired appointment
day (if any): | |
Desired appointment
time: | |
Desired counselor name
(if any): | |
Brief explanation for
seeking counseling:
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How did you hear about Twelve Stones?
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Please note that desired date of appointment and a particular counselor may not match what is available, but this information may help us to provide you with an ideal appointment time.
On your appointment day we encourage you to arrive 15-20 minutes prior to your appointment time in order to fill out a few forms (or you can download the forms here and bring the completed forms with you). The main purpose of this is to provide your counselor with background information to help him or her care for you better.
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