The Art Therapy Nook LLC
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Client Preferences
Billing & Payment
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Appointment info
2
Prescreener
Reason for care
Administrative
Billing & Payment
Client Preferences
3
Contact information
Preferred appointment times (select all that apply)
Early morning (e.g., 8:45 AM)
Mid morning (e.g., 10:00 AM)
Late morning (e.g., 11:15 AM)
Early afternoon (e.g., 1:30 PM)
Mid afternoon (e.g., 2:45 PM)
Late afternoon (e.g., 4:00 PM)
Other
Preferred method of contact
Email
Text message
Phone call
Are you comfortable with fully remote tele-therapy?
Yes
No
I'm not sure / Haven't tried it before
If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.
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