Name *

First Name

Last Name

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I would like to schedule a Free 15 minue phone consultation *

Yes

No

What services are you interested in?

Individual Counseling

Couple's Counseling

Family Counseling

Interested in joining our team

Other

Is there a therapist you prefer to see?

After reviewing the about page, which therapist do you feel would be the best fit for you? **PLEASE NOTE: Insurances for each therapist are listed in their bios.

Mariele Feldpausch (accepting new clients in-person in the Grand Rapids office & virtually

Camille Knight (accepting new clients virtually)

Katie Curtis (accepting new clients virtually)

Katie Hauge (accepting new clients in-person in the Grand Rapids office and virtually)

Ashley Sjoerdsma (accepting new clients in-person in the Grand Rapids office and virtually)

Elise Ferrary (accepting new clients in-person in the Grand Rapids office and virtually)

No Preference

How did you hear about us?

My insurance carrier website

Psychology Today

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School

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Do we have permission to add you to our e-newsletter list?

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