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First Name

Last Name

I would like to schedule a free 20-minute consultation

I am not in-network with any insurance providers and am a private pay practice. My fee for individuals is $130/50-minute and $175/80-minute session. *

I have read the above and understand

I understand that submission of this form and any resulting consultation communication with Body Joy Counseling PLLC does not in itself initiate a therapeutic relationship between myself and Body Joy Counseling PLLC. I understand this form is not intended to address time-sensitive matters or to receive immediate emergency support. *

I have read the above and understand