Welcome to
A Good Place for Help
Helping people make positive changes and achieve their goals is our passion. Make an online appointment today for you or your family!
Appointments
Monday - Friday
By Appointment Only
Saturday - Sunday
CLOSED
Online Therapy Groups
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By Appointment Only
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About
Our Services
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Therapy Consulting Form
Therapy Consulting Form
First Name
Last Name
Age
*
Phone Number
(By providing your phone number you authorize contact for the purpose of receiving services.)
Email Address
*
(By providing your phone number you authorize contact for the purpose of receiving services.)
Are you a Florida residenty?
*
Yes
No
Select the therapy service are you presently seeking?
*
Individual Therapy
Family Therapy
Couples Therapy
Group Therapy
What issue(s) would you like to address with therapy?
*
Have you attended therapy before? If yes briefly explain.
*
Are you currently taking/prescribed psychotropic medication(s)? If yes, please list
*
Are you currently suicidal? National Suicide Prevention Helpline (Available 24/7) 1-800-273-8255.
*
No
Yes, thoughts only.
Yes, I have attempted.
ATTENTION
If you are in CRISIS and need to speak with a mental health professional immediately, below are a few resources: National Suicide Prevention Hotline (dial 800-273-8255) or Text LIFE to 741741; 211 Local Community Resources Directory (dial 211 & listen to the prompt for the crisis counselor); If this is an EMERGENCY, please call 911 or go to your local emergency room.
Do you have a history of self harm or suicidal ideations? If yes, please explain. (If no, write N/A)
Are you currently using substances or do you have a history of substance abuse? If Yes, please explain.
We do not accept health insurance. Documentation (Superbill) is available upon request should you wish to submit expenses to your insurance provider for reimbursement. Services could be considered as out-of-network benefits by your insurance provider. **Please check you insurance coverage carefully.
*
Yes, I have read and acknowledge the insurance policy.
Please select a therapy service you are interested in:
Individual - $120
Couples - $150
Family - $200
How did you find us?
Therapy For Black Girls
Google Search
Referral
Website
Instagram/FB/Social Media
BHenson
DRK Beauty Healing
Other
Select any non clinical (therapy) service you wish to receive.
Clinical Supervision (For Registered Florida MH & MFT Interns Only)
1 on 1 Wellness Coaching
Wellness Party (Intimate therapist led discussions on self-care, marriage, parenting, and more.)
Speaking Event
Which is your preferred social media platform? Select all that apply.
Instagram
Facebook
Twitter
Clubhouse
Tiktok
Youtube
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