Free 15-Minute Consultation | Online Mental Health Care

Name

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The information you provide will help us connect you with the most appropriate Therapist for your FREE 15-minute consultation. This survey is not intended to provide a formal assessment, diagnosis, or treatment.

Your Current Location

Are you contacting us from California?*

Yes

No

We ask for your current location to ensure we can provide you with the most appropriate support. Please note that due to licensing regulations, our therapists are only able to provide online therapy sessions to clients who are located in California during their appointments. This location requirement does not apply to the free 15-minute consultation you are currently requesting.

Therapy Preferences

What type of therapy are you interested in?

Individual Therapy

Couple Therapy

Family Therapy

Our Marriage and Family Therapists and Therapist Trainees specialize in the following areas. Please select up to 3 that you are most interested in:

Anxiety

Marital & Premarital

Relationship Issues

Depression

Stress

Other

Availability

Please provide your general availability for your free 15-minute consultation:

Weekday mornings (Monday - Friday, 8am - 12pm)

Weekday afternoons (Monday - Friday, 12pm - 4pm)

Weekday evenings (Monday - Friday, 4pm - 8pm)

Please note that our standard hours of operation are Monday through Friday, 8am to 8pm.

Additional Information

Is there anything else you would like us to know before your consultation?

Your Contact Information

First Name*

Last Name*

Email Address*

Phone Number*

Preferred Contact Method*

Email

Phone Call

Text Message

By submitting this form, I agree to be contacted by Center for Mental Health Excellence (CFMHE) via phone or email at the provided contact information. I understand that this consent is not required to receive services and can be revoked at any time. I also agree to the Terms of Use and Privacy Policy, which detail how my information will be handled in accordance with HIPAA.

Free Consultation

Request your FREE 15-minute consultation!

Take our Therapy Preferences Survey to get started.

Your Current Location

Therapy Preferences

Availability

Additional Information

Your Contact Information

Online Therapy for Clients in California