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Complete form below to be contacted once Shira has an opening available.
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What are you hoping to accomplish through therapy at this time?
Have you been to therapy before? If so, what did you like/dislike about it?
Please check the box to acknowledge that you are aware that Shira does not accept insurance and that sessions fees are $140/session.
Do you have a requirement for session times or are you flexible? Note: Earliest session starts at 8AM and latest starts at 12:30PM Mon-Fri. No evening sessions.
Options for session frequency are either weekly or every 2 weeks. Which do you prefer?
How did you hear about me? If direct referral, please name the person who referred you.
Anything else you'd like me to know?
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New offering:
Group Therapy Openings available!
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