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Contact

Consultation Form:

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Name(if you’re filling out on behalf of your child, please share their name also)
(required)

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I am interested in therapy.(required)

In Person

Virtual

Either is fine

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We accept private pay clients and some insurance. Larissa’s private pay rate is $160 per 50 minute session. Associate Clinician rates are $145 per 50 minute hour. If your insurance is not listed that means we are not in network with them. A Super Bill can be provided for you to submit to your insurance for reimbursement. My method of payment/insurance is:(required)

Optum/United Health/UMR (Sutter Helath)

Cigna

Carelon (Kaiser)

Carelon (Partnership/Medi-cal)

Private Pay

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How did you hear about our practice?

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In a few sentences, what is most important for us to know about you before we meet? Please give a brief description of the challenges that motivated you to reach out. (required)

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It’s recommend starting off with weekly sessions and then tapering off to every other week once you begin meeting your goals. Are you able to commit to weekly sessions at this time?(required)

Yes

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Your preferred days and times for meeting are:(required)

Monday Tuesday Wednesday Thursday Friday Saturday Morning Mid-day Evening I'm flexible

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Which therapist would you prefer?(required)

Larissa

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We look forward to your consultation call. During our call we will identify current stressors and challenges you’d like to work on. If after our consultation call either of us determine that it’s not a good fit, together we will figure out what is best for your care. We welcome any questions you may have and look forward to talking with you!
Talk soon, Find Your Freedom Counseling Staff.

Please share your phone number below.(required)

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Please share your email address below.(required)

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Contact us

Phone: 707-505-9852
Email: larissa.pendergraft@gmail.com

Location

9240 Old Redwood Highway

Suite 271
Windsor, CA 95492

Phone

707-505-9852

Email

larissa.pendergraft@gmail.com

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