NCCC Contact Page

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Your Name* This field is required.
First Name
Last Name
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Your Email* This field is required.
example@example.com
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Your Phone Number
Please enter a valid phone number.
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Your Age
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Partner's Name
First Name
Last Name
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Partner's Email
example@example.com
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Partner's Phone Number
Please enter a valid phone number.
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Partner's Age
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NEURODIVERSITY: Please check all that apply related to Neurodiversity
Autistic
ADHD
AuDHD (Both Autistic and ADHD)
Self-diagnosed
Formally diagnosed
Neurotypical (AKA Allistic)
I'm unsure if any of these fit me
Something else (Please specify in the background section below)
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EATING: Please check all that apply
Skip meals/forget to eat
Overwhelm/avoidance with grocery shopping
General anxiety around eating
Shame or guilt around eating
Negative thought patterns about eating
GI problems causing fear with eating
Pain with or after eating
Underfueling in athletics
Binge eating
Throwing up after eating
Exercise to compensate for eating
Unable to eat enough due to fear of weight gain
Poor appetite
Lack of motivation to prepare food or eat food
Obsessive thoughts or behaviors around food
Anxiety around going out to restaurants
Anxiety around family or social gathering that involve eating
Hiding food/hiding eating
I have a diagnosed eating disorder
Something else (Please specify in the background section below)
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Autism symptoms are presenting for:
Me
My partner
Both of us
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ADHD symptoms are presenting for:
Me
My partner
Both of us
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What type of therapy are you interested in?
Individual Counseling
Group
Couples Counseling
Couples Retreat
Assessment
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Check INDIVIDUAL therapy that may be of interest:
Twice Exceptional Children
Autistic Women
ADHD Women
AuDHD (Autism + ADHD)
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Check ASSESSMENTS that may be of interest:
Autism Assessment - $1,500
ADHD Assessment - $900
Dual Assessment (ASD and ADHD) - $1,800
Alexithymia Assessment - $300 (as an add on to the Autism or ADHD assessment)
Sensory Assessment - $300 (as an add on to the Autism or ADHD assessment)
PDA Assessment (Pathological Demand Avoidance) - $300 (as an add on to the Autism or ADHD assessment)
Dyslexia Support
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Check GROUPS of interest:
Friendship Group (for Neurodiverse Women)
Book Group (for Neurodiverse Women)
Neurodiverse Couples Support Group
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Check COUPLES topics of interest:
Autism & Marriage
Parenting
ADHD & Marriage
Anger Management
Communication
Time Together & Apart
Emotional Intimacy
Sharing Chores
Sexual Intimacy
Money / Spending
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Check SPECIALTY topics of interest:
Alexithymia
Eating & Autism
Art Therapy & Autism
Cancer & Autism
Seniors & Autism
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Where do you live? (This helps match you with a therapist or coach).* This field is required.
California
Not in California
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Your therapist or coach preference:Sorry, we don't have any non-binary therapists available at this time.
Female
Male
No gender preference
Incorporates Spirituality/Religion
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Therapist Preferences:Sorry, we don't have any non-binary therapists available at this time.
Female
Male
No gender preference
Incorporates Spirituality/Religion
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I prefer a therapist with a background that is:
Christian
Spiritual
Muslim
Buddhist
Jewish
Agnostic or Atheist
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Session fees vary by experience and qualifications. Share what you can pay, and we’ll match you with the right professional.* This field is required.
$300 and up
$250 to $300
$200 to $250
$150 to $200
$100 to $150 - considered "Sliding Scale". Appointments at this price are limited and may not be available.
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Where do you live? (This helps match you with a therapist or coach).(OPTIONAL)
Huge
Large
Normal
Small
Ok
Ok
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