Action-Oriented Therapy PLLC

Who would be receiving care?

My partner and me

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Client Preferences

Is there anything that the practitioner needs to know?

Please include: what you'd like to focus on, type of insurance, any availability constraints.

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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.