You can always press Enter⏎ to continue
Contact Form to Book Your FREE Consultation!

Contact Form to Book Your FREE Consultation!

Scientifically-Proven and Anciently Inspired Approaches! EMDR, IFS, Couples, Pet-Assisted, LGBT+ & More! Therapy, Coaching & Consulting Expertise - CA, DC, MD, VA, FL, and Beyond
9Questions

HIPAA

Compliance

  • 1
    Press
    Enter
  • 2
    Press
    Enter
  • 3
    Press
    Enter
  • 4
    Press
    Enter
  • 5
    Our Client Hospitality Team is here to help! If you want to reach out directly you may contact: Joseph Avizad, Operations Lead- hello@darby-integrative-counseling.com - (443) 333-8815
    Please Select
    • Please Select
    • Yes: I will complete the final 4 questions
    • No: Skip the Questions- Call Me
    • No: Skip Questions: Email Me
    Press
    Enter
  • 6
    Tell us briefly about the challenges you are facing and ask any questions you may have for us:
    Press
    Enter
  • 7
    Please Select
    • Please Select
    • Telehealth
    • In-Person
    • Both-Hybrid
    Press
    Enter
  • 8
    Please Select
    • Please Select
    • Alabama
    • Alaska
    • Arizona
    • Arkansas
    • California
    • Colorado
    • Connecticut
    • Delaware
    • Florida
    • Georgia
    • Hawaii
    • Idaho
    • Illinois
    • Indiana
    • Iowa
    • Kansas
    • Kentucky
    • Louisiana
    • Maine
    • Maryland
    • Massachusetts
    • Michigan
    • Minnesota
    • Mississippi
    • Missouri
    • Montana
    • Nebraska
    • Nevada
    • New Hampshire
    • New Jersey
    • New Mexico
    • New York
    • North Carolina
    • North Dakota
    • Ohio
    • Oklahoma
    • Oregon
    • Pennsylvania
    • Rhode Island
    • South Carolina
    • South Dakota
    • Tennessee
    • Texas
    • Utah
    • Vermont
    • Virginia
    • Washington
    • West Virginia
    • Wisconsin
    • Wyoming
    Press
    Enter
  • 9
    Press
    Enter
  • 10
    Have Insurance Questions? Schedule a FREE Call! Courtesy Claim Submissions Done for You! Quick & Easy Reimbursements DIRECTLY Deposited into your bank account. As a private pay practice, we believe in making therapy accessible and affordable. Upload the FRONT and BACK of your Insurance Card below to get your FREE Benefits Details. (Note: You will receive an invite from Thrizer.com)
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 11
    (SpamBots made us do this!)
    Press
    Enter
  • Should be Empty:
Question Label
1 of 11See AllGo Back
close