Let’s work together.Interested in working together? Fill out some info and I will be in touch shortly! I can't wait to hear from you! Name * First Name Last Name Email * Phone * (###) ### #### Are you 16 or older? * Yes No What would you like to schedule? * Free 15-minute phone call consultation First session How would you prefer that I contact you? * Email Text Call How would you like to meet for sessions? * In person Telehealth No preference / Unsure When are you available to meet? * Select all options that work best for your schedule. Monday 5-9 Pm Tuesday 5-9 pm Wednesday 5-9 pm Thursday 5-9 pm friday 5-9 pm weekends Please select your preferred payment method. * Self-pay Insurance What brings you to therapy at this time? * What's important for me to know? Please be as detailed as you can. What types of therapy are you interested in? * Art therapy Talk therapy Hybrid No preference / unsure Do you have any questions? How did you hear about Creative Renewal Counseling & Art Therapy? Psychology Today Health professional referral Social media Word of mouth Other Thank you so much for your reaching out! I’ve received your information and will be in touch soon. Go ahead and make sure to save my contact information so you don’t miss any messages. With care,LaurenLauren Chapman, MA, LPC, ATR-BClauren@creativerenewaltherapy.com(864) 559-8327
