Heartafire Counseling Services
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Please submit the form below and we will be in contact to set up a phone consultation and schedule your assessment.
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@heartafirecounselingservices.com
503-308-8016
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First & Last Name
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Email
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How did you hear about us?
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Psychology Today
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Mending The Soul
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Name of person or agency who referred you.
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What brings you to therapy?
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Please briefly explain what you're hoping to address in therapy
Are you a First Responder?
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Payment Options
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Insurance
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Your availability for sessions
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Please share when you're available for sessions
Therapist Preferences
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Haley
Bekah
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